Asymptomatic Myocardial Injury in a Low Level of Carbon Monoxide Poisoning

Hocagil, Hilal; Tanrıkulu, Ceren Şen; Ülker, Volkan; Kaya, Ural; Koca, Levent; Hocagil, Abdullah Cüneyt

doi:10.5152/jaem.2015.66588

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Patient symptoms of CO poisoning are not diagnostic at the first admission to emergency departments (4). The broad spectrum of clinical findings and the non-specific character of the clinical symptoms delay the diagnosis and, consequently, the treatment, which increases the risk of complications (7,8). Since our patients presented to the emergency departments with non-specific symptoms of nausea, vomiting, headache, weakness, dizziness, presyncope, and syncope, we recommend that CO poisoning should be kept in mind during the differential diagnosis by the emergency physicians.…”

Section: Discussionmentioning

confidence: 94%

Carbon Monoxide Poisoning Due to Water Pipe Smoking: Case Series

Koçak¹,

Akbaş²,

Çakır³

2017

J Emerg Med Case Rep

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Case 1. An 18-year-old male patient, who complained of syncope, was brought to the emergency department by ambulance and admitted. The patient, who had a normal medical history, had not experienced syncope previously. He was not a smoker. For three hours, he sat with his friends in a cafe, where people smoked a water pipe, but he did not. He stated that he had a headache and felt dizzy after he left the cafe, and he could not remember what happened afterwards. People who witnessed the incident stated that he had fainted for approximately 4 to 5 minutes, but he had not displayed spasms or symptoms of an epileptic seizure. His vital measurements were normal at admission, and his Glasgow Coma Scale (GCS) score was 15. He was

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Section: Discussionmentioning

confidence: 94%

Carbon Monoxide Poisoning Due to Water Pipe Smoking: Case Series

Koçak¹,

Akbaş²,

Çakır³

2017

J Emerg Med Case Rep

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“…Only limited studies have been conducted to evaluate the associations between CO poisoning and the risk of developing IHD. Although subsequent MIs have been reported several times after CO poisoning has occurred [9][10][11], it is not known whether the risk increases with time. The risk of ischemic stroke in the CO poisoning group was previously analyzed using the NHID.…”

Section: Discussionmentioning

confidence: 99%

“…When this patient group was followed up until 2005, the hazard ratio (HR) of long-term mortality was significantly higher in the group with myocardial infarction (MI) at 2.1 (95% confidence interval [CI], 1.2-3.7) compared to the group without MI [8]. Additionally, there have been reports of MI after CO poisoning [9][10][11], and among them, there were cases that occurred at low Toxics 2021, 9, 239 2 of 9 exposure levels [11]. Therefore, the possibility that the risk of ischemic heart disease (IHD) may increase due to CO poisoning can be considered.…”

Section: Introductionmentioning

confidence: 99%

Carbon Monoxide Poisoning and Developing Ischemic Heart Disease: A Nationwide Population-Based Nested Case-Control Study

Bahng

Baek

Park

et al. 2021

Toxics

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Although there are several case reports showing that carbon monoxide (CO) poisoning causes ischemic heart disease (IHD), no large-scale epidemiological studies have shown a significant association between the two. To investigate the association between CO poisoning and IHD, a nested case-control study of 28,113 patients who experienced CO poisoning and 28,113 controls matched by sex and age was performed using the nationwide health database of South Korea. Based on a conditional logistic regression, there was a significantly higher risk of IHD among the CO poisoning group than among the control group (adjusted hazard ratio [HR], 2.16; 95% confidence interval [CI], 1.87–2.49). The risk of IHD after CO poisoning was higher among the younger age group under 40 years (adjusted HR, 4.85; 95% CI, 3.20–7.35), and it was much greater among those with comorbidities (adjusted HR, 10.69; 95% CI, 2.41–47.51). The risk of IHD was the highest within the first two years after CO poisoning (adjusted HR, 11.12; 95% CI, 4.54–27.22). Even if more than six years had passed, the risk was still significantly higher than among the control group (adjusted HR, 1.55; 95% CI, 1.27–1.89). The analyses imply that CO poisoning is associated with an increased risk of IHD.

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Intracoronary Thrombus Formation Following Carbon Monoxide Poisoning

Caron-Cantin

Abbott

Brooks-Lim

et al. 2017

Journal of Forensic Sciences

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Thromboembolic events in the context of carbon monoxide (CO) exposure have been well described in the literature. Six cases of clinically significant coronary thrombosis following CO exposure were previously reported. However, factors affecting the development of coronary thrombus in CO exposure are poorly understood, and the significance of this finding in a forensic context is not clear. This article discusses a case of coronary thrombosis found at autopsy following a death in which CO poisoning was suspected. A 67-year-old man was found dead in his garage with four vehicles with their ignition in the "on" position and their tanks empty. At autopsy, severe coronary atherosclerosis and an acute nonocclusive coronary thrombus were found. Given the dissimilarities among cases and the presence of CO exposure, it was suggested that the coronary artery thrombosis is likely due to the inherent prothrombotic mechanism of CO, the only common denominator in all the cases.

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Asymptomatic Myocardial Injury in a Low Level of Carbon Monoxide Poisoning

Cited by 3 publications

References 11 publications

Carbon Monoxide Poisoning Due to Water Pipe Smoking: Case Series

Carbon Monoxide Poisoning Due to Water Pipe Smoking: Case Series

Carbon Monoxide Poisoning and Developing Ischemic Heart Disease: A Nationwide Population-Based Nested Case-Control Study

Intracoronary Thrombus Formation Following Carbon Monoxide Poisoning

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