@article{ref1,
title="Reversible cardiac failure in an adolescent after prolonged exposure to carbon monoxide",
journal="European journal of emergency medicine",
year="1995",
author="Diltoer, M. W. and Colle, I. O. and Hubloue, I. and Ramet, J. and Spapen, H. D. and Nguyen, N. and Huyghens, L. P.",
volume="2",
number="4",
pages="231-235",
abstract="We describe the case of an adolescent who developed a severe but fully reversible cardiac dysfunction with low blood levels of carboxy haemoglobin (COHb = 10%) after a prolonged exposure to carbon monoxide. A 15-year-old male was admitted with a Glasgow Coma Scale of 8/15 with suspected postictal state and postanoxic encephalopathy. The cardiorespiratory failure which he developed soon after admission mandated mechanical ventilation, inotropic support and ultimately left ventricular support by intra-aortic balloon counterpulsation. The cardiac dysfunction was documented by radionuclide imaging and echocardiography. The patient fully recovered without neurological deficit. A low blood COHb concentration is a poor safety indicator since high tissue levels of accumulated carbon monoxide can be associated with coma and fulminant cardiorespiratory failure requiring advanced life support facilities.<p /><p>Language: en</p>",
language="en",
issn="0969-9546",
doi="",
url="http://dx.doi.org/"
}