Incidence and patterns of cardiomyopathy in carbon monoxide-poisoned patients with myocardial injury
| Autor: | Yun Kwon Kim, Sung Oh Hwang, Hyung Il Kim, Kyoung-Chul Cha, Kang Hyun Lee, Hyun Ok Kim, Oh Hyun Kim, Jang Young Kim, Yong Sung Cha, Eunhee Choi |
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| Rok vydání: | 2016 |
| Předmět: |
Cardiac function curve
medicine.medical_specialty Ejection fraction Carbon monoxide poisoning business.industry Incidence (epidemiology) Cardiomyopathy General Medicine Emergency department 030204 cardiovascular system & hematology Toxicology medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine Troponin I medicine Cardiology 030212 general & internal medicine Prospective cohort study business |
| Zdroj: | Clinical Toxicology. 54:481-487 |
| ISSN: | 1556-9519 1556-3650 |
| DOI: | 10.3109/15563650.2016.1162310 |
| Popis: | Objectives: Sustained myocardial injury is a significant predictor of mortality in carbon monoxide (CO) poisoning. There are few reports in the literature regarding the presence of CO-induced cardiomyopathy from early stages in the emergency department (ED). We prospectively investigated the early incidence of CO-induced cardiomyopathy and its patterns in patients with cardiomyopathy. Materials and methods: During a 10-month period, transthoracic echocardiography (TTE) was performed in 43 consecutive patients with CO poisoning and myocardial injury, which was defined as elevated high-sensitive troponin I within 24 h after ED arrival. Measurements of left ventricular ejection fraction and wall motion abnormalities were performed to evaluate cardiac function. If a patient had CO-induced cardiomyopathy, we measured cardiac function at the time of patient admission, day 1, day 2, and once within seven days of hospitalization. Results: The incidence of cardiomyopathy was as high as 74.4% (32 of 43 pati... |
| Databáze: | OpenAIRE |
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