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Acute cardiac effects of carbon monoxide poisoning in children.

Publication ,  Journal Article
Teksam, O; Gumus, P; Bayrakci, B; Erdogan, I; Kale, G
Published in: Eur J Emerg Med
August 2010

OBJECTIVE: Carbon monoxide (CO)-induced cardiotoxicity has been investigated infrequently in children and reports of its cardiovascular effects are limited to isolated case reports. Our aims were to describe acute cardiac effects and associated factors with myocardial injury in children with CO poisoning. METHODS: We reviewed the medical records of children below 17 years of age who were diagnosed with CO poisoning at pediatric emergency department between July 2004 and June 2007. Patients who had carboxyhemoglobin level at least 10% were included. Myocardial injury was defined as elevated cardiac biomarkers (creatine kinase-MB or troponin-t). Carboxyhemoglobin level, electrocardiogram (ECG) findings, cardiac biomarkers, and echocardiograph results were recorded for each patient. RESULTS: Cardiac biomarkers were drawn in 107 patients, of which 16 patients (15%) had cardiac biomarkers confirmed diagnosis of myocardial injury. Sinus tachycardia was present in 32% of patients on baseline ECG. None of the patients had ischemic changes on ECG. Echocardiograph was performed in 27 patients (25% of patients with biomarkers drawn), of which nine patients had low ejection fraction and abnormal left ventricular function. Determinators of myocardial injury included a Glasgow Coma Scale (GCS) score

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Published In

Eur J Emerg Med

DOI

EISSN

1473-5695

Publication Date

August 2010

Volume

17

Issue

4

Start / End Page

192 / 196

Location

England

Related Subject Headings

  • Retrospective Studies
  • Male
  • Infant
  • Humans
  • Glasgow Coma Scale
  • Female
  • Emergency & Critical Care Medicine
  • Electrocardiography
  • Child, Preschool
  • Child
 

Citation

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Teksam, O., Gumus, P., Bayrakci, B., Erdogan, I., & Kale, G. (2010). Acute cardiac effects of carbon monoxide poisoning in children. Eur J Emerg Med, 17(4), 192–196. https://doi.org/10.1097/MEJ.0b013e328320ad48
Teksam, Ozlem, Pinar Gumus, Benan Bayrakci, Ilkay Erdogan, and Gulsev Kale. “Acute cardiac effects of carbon monoxide poisoning in children.Eur J Emerg Med 17, no. 4 (August 2010): 192–96. https://doi.org/10.1097/MEJ.0b013e328320ad48.
Teksam O, Gumus P, Bayrakci B, Erdogan I, Kale G. Acute cardiac effects of carbon monoxide poisoning in children. Eur J Emerg Med. 2010 Aug;17(4):192–6.
Teksam, Ozlem, et al. “Acute cardiac effects of carbon monoxide poisoning in children.Eur J Emerg Med, vol. 17, no. 4, Aug. 2010, pp. 192–96. Pubmed, doi:10.1097/MEJ.0b013e328320ad48.
Teksam O, Gumus P, Bayrakci B, Erdogan I, Kale G. Acute cardiac effects of carbon monoxide poisoning in children. Eur J Emerg Med. 2010 Aug;17(4):192–196.

Published In

Eur J Emerg Med

DOI

EISSN

1473-5695

Publication Date

August 2010

Volume

17

Issue

4

Start / End Page

192 / 196

Location

England

Related Subject Headings

  • Retrospective Studies
  • Male
  • Infant
  • Humans
  • Glasgow Coma Scale
  • Female
  • Emergency & Critical Care Medicine
  • Electrocardiography
  • Child, Preschool
  • Child