Article citationsMore>>
Verónica, T.C., Damin, C.F., González Negri, M.R., Bizantino, G., Alonso, M.L., Berzel, H., Cardozo, P., Cargnel, E., Carro, A., Cortez, A., Di Nardo, V., Diaz, M., Gaioli, M., Gait, N., Garea, M., Greco, V., Lafuente, A., Lombardo, F., Regnando, M., Valleta, E., Vidal, F., Voitzuk, A., Subbotina, N., Campos, O. and Marovich, M.C. (2019) Consenso Universitario de Prevención, Diagnóstico y Tratamiento de las Intoxicaciones por Monóxido de Carbono.
https://www.fmed.uba.ar/sites/default/files/2019-08/C%C3%A1mara%20hiperb%C3%A1rica%202019_actualizacion%20agosto%202019.pdf
has been cited by the following article:
-
TITLE:
Prevalence of Acute Myocardial and Brain Toxicity in Emergency Department Patients Exposed to Carbon Monoxide
AUTHORS:
Carolina Zúñiga, Luisa Fabiola Pérez Moreno, Shirley Liperguer, Verónica Torres Cerino
KEYWORDS:
Carbon Monoxide Poisoning, Myocardial Toxicity, Brain Toxicity, Hospital Universitario Austral
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.11 No.4,
December
15,
2023
ABSTRACT: Introduction: Due to its severe toxicity, carbon monoxide poisoning is an emergency that leads to cardiac and brain involvement, and emergency physicians should aim to master this diagnosis. This study is intended to describe the expected prevalence of these severe toxicities in the emergency department. Materials and Methods: A retrospective cohort of consecutive patients over 16 years of age presenting with carbon monoxide poisoning to the emergency department of the Hospital Universitario Austral, Argentina, during the period from January 2018 to June 2022. The prevalence of myocardial and brain toxicity was assessed regarding percentage, continuous variables with mean and standard deviation, categorical variables with percentage and absolute frequency. Positive findings of acute neurological toxicity included seizures, syncope and coma, while cardiovascular toxicity encompassed acute myocardial infarction (MI) diagnosed by electrocardiogram or elevated troponin levels, arrhythmias, and the development of pulmonary edema/ congestive heart failure (CHF) confirmed by chest X-ray with suggestive signs or clinically compatible symptoms. Patients were followed-up for 90 days to estimate hospitalization and mortality. Results: A total of 67 patients were evaluated; 44.77% of them were males with a mean age of 38.5 ± 14.97 years. The prevalence of acute myocardial toxicity was 7.46% (n: 5). Among these patients, 3 had overweight as a risk factor, and 3 showed ECG abnormalities with negative T-waves. The prevalence of acute brain toxicity was 8.9% (n: 6). In total, 37% (n: 25) of patients met the criteria for hyperbaric oxygen therapy, of which 32% (n: 8) underwent more than one session. A total of 7.46% of patients (n: 5) required hospitalization. Mortality at 90 days was 0%. Conclusion: Among the patients who presented to the emergency department, the prevalence of acute myocardial toxicity was 7.46% (n: 5), which is lower than the prevalence reported in other studies to date. The prevalence of acute brain toxicity was 8.9% (n: 6), and there are no studies describing the prevalence of acute brain toxicity in the emergency department to date. There were no fatalities in our series.
Related Articles:
-
Flor Magali Aguilar López, Dayana Almeida, Yuri Tavares Rocha, Eliziane Carla Scariot, Waldir José Gaspar, Roberto Bonifaz Alfonzo, Elisabete Maria Zanin, Alberto Carvalho Peret, José Eduardo Dos Santos
-
Jai Dev Chandel, Nand Lal Singh
-
Ananda Prasad Panta, Ram Prasad Ghimire, Dinesh Panthi, Shankar Raj Pant
-
Carolina Macedo Alves Moreira, Carolina Gonçalves Pinheiro, Aline Ronis Sampaio, Michele Paula dos Santos, Andres Felipe Mantilla Santamaria, Miriam Viviane Baron, Cristine Brandenburg, Nathália Ken Pereira Iketani, Mara Alessandra Porto dos Reis Oliveira, Alexandre Sancho, Esteban Fortuny, Felice Picariello, Marcus Vinicius de Mello Pinto
-
Minzhi Wei, Yujian Gan, Shengqiang Tang