Primary Angioplasty in Patient with St-Segment Elevation Myocardial Infarction in the Setting of Intentional Carbon Monoxide Poisoning

Dziewierz, Artur; Ciszowski, Krzysztof; Gawlikowski, Tomasz; Rakowski, Tomasz; Kleczyński, Paweł; Surdacki, Andrzej; Dudek, Dariusz

doi:10.1016/j.jemermed.2013.05.061

Cited by 31 publications

(30 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Venous and arterial thromboembolic events in the context of CO poisoning are not uncommon. Cases of venous thrombosis, pulmonary embolism, ischemic stroke, atrial thrombus, and intracoronary thrombus have been reported in patients exposed to an excess of CO . The rate of clot formation and the clot progression itself was shown to be significantly increased after brief CO exposure .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intracoronary Thrombus Formation Following Carbon Monoxide Poisoning

Caron-Cantin

Abbott

Brooks-Lim

et al. 2017

Journal of Forensic Sciences

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Six articles were found describing myocardial injury post‐CO poisoning that is thought to be caused by an acute intracoronary thrombus . Unlu et al.…”

Section: Discussionmentioning

confidence: 99%

Intracoronary Thrombus Formation Following Carbon Monoxide Poisoning

Caron-Cantin

Abbott

Brooks-Lim

et al. 2017

Journal of Forensic Sciences

View full text Add to dashboard Cite

show abstract

“…Although patients with an underlying cardiac disease are at a greater risk of myocardial injury and infarction, CO poisoning can trigger myocardial injury and infarction even in patients with normal coronary arteries (11).…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Myocardial Injury in a Low Level of Carbon Monoxide Poisoning

Hocagil¹,

Tanrıkulu²,

Ülker³

et al. 2015

JAEM

View full text Add to dashboard Cite

Carbon monoxide (CO) poisoning is an important cause of mortality and morbidity. Although measured in CO levels are not always correlated with clinical symptoms, neurological symptoms may present in lower CO levels, and cardiac signs and symptoms may occur in high CO levels. Low levels of CO exposure are very rare causes of myocardial injury. In this case presentation, we aimed to report on a patient who had a 20% level of CO and high troponin level without cardiac signs and symptoms. (JAEM 2015; 14: 91-3)

show abstract

“…The initial clinical presentation varies in patients suffering from CO poisoning: it can take the form of a headache, altered mentation, or coma, and carries a 1-3% mortality rate (2). Up to a third of moderate to severely CO poisoned patients will show signs of cardiac dysfunction, which is associated with long-term mortality (3). Even with current therapy, 15-40% of patients will experience long-term neurocognitive sequelae (4,5).…”

Section: Shining a Light On Carbon Monoxide Poisoningmentioning

confidence: 99%