| Cardiogenic shock complicating acute carbon monoxide poisoning despite neurologic and metabolic recovery. | |
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MedLine Citation:
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PMID: 12239499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the cases of 2 previously healthy young patients with acute carbon monoxide intoxication who deteriorated to cardiogenic shock in the face of apparent metabolic and neurologic recovery. Prolonged exposure to sublethal levels of carbon monoxide (>24 hours, carboxyhemoglobin level of 20.4% and 22.6%) and massive binding of the toxin to myocardial myoglobin and mitochondrial cytochrome chain enzymes might explain their protracted cardiac failure. The good response to inotropic agents and the findings of repeated echocardiographic studies support the probable diagnosis of myocardial stunning. Complete cardiac recovery was observed in both patients. |
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Authors:
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Yoav Yanir; Avi Shupak; Amir Abramovich; Shimon A Reisner; Abraham Lorber |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of emergency medicine Volume: 40 ISSN: 0196-0644 ISO Abbreviation: Ann Emerg Med Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-09-19 Completed Date: 2002-10-16 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 420-4 Citation Subset: AIM; IM |
Affiliation:
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Israel Naval Medical Institute, IDF Medical Corps, Haifa. yanir192@netvision.net.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Carbon Monoxide Poisoning / complications*, physiopathology, therapy Child Child, Preschool Electrocardiography Female Hemodynamics* Humans Hyperbaric Oxygenation Male Shock, Cardiogenic / etiology*, physiopathology |
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