Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising

Zhang Yanping; Zhang Pan; Lv Changchun

doi:doi:10.11648/j.ejpm.20210903.11

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Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising

Zhang Yanping, Zhang Pan, Lv Changchun

Published in European Journal of Preventive Medicine (Volume 9, Issue 3)

Received: 14 April 2021 Accepted: 30 April 2021 Published: 14 May 2021

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Abstract

Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, CK, LDH, MYO, BNP) and troponin (cTnl), arterial COHb quantitative and electrocardiogram (EKG) dynamic inspection, row CT, MRI examination can at the same time, using air pressure cabin HBO treatment, Each patient choose 2.5-3 period of treatment (Every10 times is a course of treatment), 99.5-100% oxygen purity (liquid oxygen gasification), oxygen supply time 60 minutes or 80 minutes, interlude 10 minutes. Results: The higher the COHb, the deeper the coma, the increased intracranial pressure, the intracranial hypertension, and the morphological changes such as diffuse cerebral edema and symmetrical globulin necrosis were observed in 125 patients. However, the myocardial damaging enzymes and troponin markers were significantly increased and the EKG abnormalities were basically consistent. HBO treatment achieved remarkable curative effect, the incidence of delayed encephalopathy was significantly reduced, and no death occurred. Conclusion: Increased intracranial pressure induced by acute encephalopathy induced by CO poisoning can significantly increase the incidence of myocardial damage, subendocardial myocardial infarction, left heart failure and various arrhythmias. HBO is a treatment for etiology and should be preferred.

Published in	European Journal of Preventive Medicine (Volume 9, Issue 3)
DOI	10.11648/j.ejpm.20210903.11
Page(s)	75-78
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

CO Poisoning, Acute Encephalopathy, Myocardial Damage, HBO Treatment

References

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[2]	Zhang Yanping, He Changling, Xie Yingli, et al. New classification of carbon monoxide poisoning encephalopathy and clinical hyperbaric oxygen therapy [J]. China Coal Industry Medical Journal, 2015, 10 (18) 1677.
[3]	Xiang BJ, Wang BJ, Xue H, et al. Relationship between elevated cerebrospinal fluid pressure and delayed encephalopathy caused by carbon monoxide poisoning in acute stage. Chinese Journal of Neuropsychiatric Diseases. 2015, 5 (41): 269. [J].
[4]	Wang M, Dai YX: Protective effect of hyperbaric oxygen on myocardial acute carbon monoxide poisoning [J]. Journal of Tongling Polytechnic, 2015, (4), 27.
[5]	Huang Chunhua, Guo Yan, Zheng Qinliang et al. Effect of hyperbaric oxygen combined with sodium fructose diphosphate on myocardial damage in children with acute carbon monoxide poisoning [J]. Chin J Marine Med & High Pressure Medicine, 2020, 27, (6) 707.
[6]	Liu Hongmei.. Effects of hyperbaric oxygen on cerebral hemodynamics, serum NT-pronBP and intracranial pressure in patients with severe head injury [J]. Chinese Journal of Practical Medicine, 2017, 44 (13) 24.
[7]	Qiu Lili, Hu Yinghua, Feng Keyu. And so on. Study on the relationship between myocardial injury and serum inflammatory factors in acute carbon monoxide poisoning, Industrial Health and Occupational Diseases, 2013, 39 (6) 349.
[8]	Fan Pengtao, Yang Fei, Liu Baocheng, et al. Effects of hyperbaric oxygen on CAT/SOD/GSH-Px and Nrf2 in rats with craniocerebral injury [J], Journal of Neuroanatomy, 2017, 33 (3): 283.
[9]	LIU bin, WANG Xia, XU Jinyuan, et al. Hyperbaric oxygen combined with alprostol on carbon monoxide poisoning.
[10]	Clinical study of toxic myocardium injury [J], China Emergency Medicine, 2019, 39 (1): 42.
[11]	Cui jian hua, Wu Peifeng, Gao Liang, et al. Effects of hyperbaric oxygen preconditioning on the ultrastructure of heart, brain and lung in acute hypoxia rats [J]. Chinese Journal of Marine Medicine and High Pressure Medicine, 2014, 21 (3): 380.
[12]	Zhou HM, Li JK, Zhao XH, et al. Effect of Danhong injection combined with sodium phosphate creatine in the treatment of myocardial injury caused by acute carbon monoxide poisoning, Journal of Modern Integrated Traditional and Western.
[13]	Jun YS, LeeJS, Min YG, et al. Carbon monoxide-induced Cardiomyopathy [J]. Cire J, 2014, 78 (6): 1437-1444.

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APA Style

Zhang Yanping, Zhang Pan, Lv Changchun. (2021). Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising. European Journal of Preventive Medicine, 9(3), 75-78. https://doi.org/10.11648/j.ejpm.20210903.11

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ACS Style

Zhang Yanping; Zhang Pan; Lv Changchun. Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising. Eur. J. Prev. Med. 2021, 9(3), 75-78. doi: 10.11648/j.ejpm.20210903.11

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AMA Style

Zhang Yanping, Zhang Pan, Lv Changchun. Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising. Eur J Prev Med. 2021;9(3):75-78. doi: 10.11648/j.ejpm.20210903.11

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@article{10.11648/j.ejpm.20210903.11,
  author = {Zhang Yanping and Zhang Pan and Lv Changchun},
  title = {Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising},
  journal = {European Journal of Preventive Medicine},
  volume = {9},
  number = {3},
  pages = {75-78},
  doi = {10.11648/j.ejpm.20210903.11},
  url = {https://doi.org/10.11648/j.ejpm.20210903.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20210903.11},
  abstract = {Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, CK, LDH, MYO, BNP) and troponin (cTnl), arterial COHb quantitative and electrocardiogram (EKG) dynamic inspection, row CT, MRI examination can at the same time, using air pressure cabin HBO treatment, Each patient choose 2.5-3 period of treatment (Every10 times is a course of treatment), 99.5-100% oxygen purity (liquid oxygen gasification), oxygen supply time 60 minutes or 80 minutes, interlude 10 minutes. Results: The higher the COHb, the deeper the coma, the increased intracranial pressure, the intracranial hypertension, and the morphological changes such as diffuse cerebral edema and symmetrical globulin necrosis were observed in 125 patients. However, the myocardial damaging enzymes and troponin markers were significantly increased and the EKG abnormalities were basically consistent. HBO treatment achieved remarkable curative effect, the incidence of delayed encephalopathy was significantly reduced, and no death occurred. Conclusion: Increased intracranial pressure induced by acute encephalopathy induced by CO poisoning can significantly increase the incidence of myocardial damage, subendocardial myocardial infarction, left heart failure and various arrhythmias. HBO is a treatment for etiology and should be preferred.},
 year = {2021}
}

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TY  - JOUR
T1  - Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising
AU  - Zhang Yanping
AU  - Zhang Pan
AU  - Lv Changchun
Y1  - 2021/05/14
PY  - 2021
N1  - https://doi.org/10.11648/j.ejpm.20210903.11
DO  - 10.11648/j.ejpm.20210903.11
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 75
EP  - 78
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20210903.11
AB  - Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, CK, LDH, MYO, BNP) and troponin (cTnl), arterial COHb quantitative and electrocardiogram (EKG) dynamic inspection, row CT, MRI examination can at the same time, using air pressure cabin HBO treatment, Each patient choose 2.5-3 period of treatment (Every10 times is a course of treatment), 99.5-100% oxygen purity (liquid oxygen gasification), oxygen supply time 60 minutes or 80 minutes, interlude 10 minutes. Results: The higher the COHb, the deeper the coma, the increased intracranial pressure, the intracranial hypertension, and the morphological changes such as diffuse cerebral edema and symmetrical globulin necrosis were observed in 125 patients. However, the myocardial damaging enzymes and troponin markers were significantly increased and the EKG abnormalities were basically consistent. HBO treatment achieved remarkable curative effect, the incidence of delayed encephalopathy was significantly reduced, and no death occurred. Conclusion: Increased intracranial pressure induced by acute encephalopathy induced by CO poisoning can significantly increase the incidence of myocardial damage, subendocardial myocardial infarction, left heart failure and various arrhythmias. HBO is a treatment for etiology and should be preferred.
VL  - 9
IS  - 3
ER  -

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Author Information

Zhang Yanping

Department of Hyperbaric Oxygen, Central Hospital of Zibo Mining Group, Zibo City, China
Zhang Pan

Emergency Department, Linzi Qidu Hospital, Zibo City, China
Lv Changchun

Department of Hyperbaric Oxygen, Central Hospital of Zibo Mining Group, Zibo City, China

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Plain Text BibTeX RIS

APA Style

Zhang Yanping, Zhang Pan, Lv Changchun. (2021). Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising. European Journal of Preventive Medicine, 9(3), 75-78. https://doi.org/10.11648/j.ejpm.20210903.11

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ACS Style

Zhang Yanping; Zhang Pan; Lv Changchun. Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising. Eur. J. Prev. Med. 2021, 9(3), 75-78. doi: 10.11648/j.ejpm.20210903.11

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AMA Style

Zhang Yanping, Zhang Pan, Lv Changchun. Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising. Eur J Prev Med. 2021;9(3):75-78. doi: 10.11648/j.ejpm.20210903.11

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@article{10.11648/j.ejpm.20210903.11,
  author = {Zhang Yanping and Zhang Pan and Lv Changchun},
  title = {Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising},
  journal = {European Journal of Preventive Medicine},
  volume = {9},
  number = {3},
  pages = {75-78},
  doi = {10.11648/j.ejpm.20210903.11},
  url = {https://doi.org/10.11648/j.ejpm.20210903.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20210903.11},
  abstract = {Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, CK, LDH, MYO, BNP) and troponin (cTnl), arterial COHb quantitative and electrocardiogram (EKG) dynamic inspection, row CT, MRI examination can at the same time, using air pressure cabin HBO treatment, Each patient choose 2.5-3 period of treatment (Every10 times is a course of treatment), 99.5-100% oxygen purity (liquid oxygen gasification), oxygen supply time 60 minutes or 80 minutes, interlude 10 minutes. Results: The higher the COHb, the deeper the coma, the increased intracranial pressure, the intracranial hypertension, and the morphological changes such as diffuse cerebral edema and symmetrical globulin necrosis were observed in 125 patients. However, the myocardial damaging enzymes and troponin markers were significantly increased and the EKG abnormalities were basically consistent. HBO treatment achieved remarkable curative effect, the incidence of delayed encephalopathy was significantly reduced, and no death occurred. Conclusion: Increased intracranial pressure induced by acute encephalopathy induced by CO poisoning can significantly increase the incidence of myocardial damage, subendocardial myocardial infarction, left heart failure and various arrhythmias. HBO is a treatment for etiology and should be preferred.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Explore of Hyperbaric Oxygen Therapy on the Patients with Acute Encephalopathy Scondery Myocardial Damage Following Carbon Monoxide Poising
AU  - Zhang Yanping
AU  - Zhang Pan
AU  - Lv Changchun
Y1  - 2021/05/14
PY  - 2021
N1  - https://doi.org/10.11648/j.ejpm.20210903.11
DO  - 10.11648/j.ejpm.20210903.11
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 75
EP  - 78
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20210903.11
AB  - Objective: To investigate the myocardial damage and hyperbaric oxygen treatment of acute encephalopathy in CO poisoning. Methods: Since March 2015 - March 2020 admitted to 125 patients with acute CO poisoning encephalopathy, emergency admission GCS score 7-8 points or less, and the intracranial pressure, myocardial damage markers enzymes (CK - MB, CK, LDH, MYO, BNP) and troponin (cTnl), arterial COHb quantitative and electrocardiogram (EKG) dynamic inspection, row CT, MRI examination can at the same time, using air pressure cabin HBO treatment, Each patient choose 2.5-3 period of treatment (Every10 times is a course of treatment), 99.5-100% oxygen purity (liquid oxygen gasification), oxygen supply time 60 minutes or 80 minutes, interlude 10 minutes. Results: The higher the COHb, the deeper the coma, the increased intracranial pressure, the intracranial hypertension, and the morphological changes such as diffuse cerebral edema and symmetrical globulin necrosis were observed in 125 patients. However, the myocardial damaging enzymes and troponin markers were significantly increased and the EKG abnormalities were basically consistent. HBO treatment achieved remarkable curative effect, the incidence of delayed encephalopathy was significantly reduced, and no death occurred. Conclusion: Increased intracranial pressure induced by acute encephalopathy induced by CO poisoning can significantly increase the incidence of myocardial damage, subendocardial myocardial infarction, left heart failure and various arrhythmias. HBO is a treatment for etiology and should be preferred.
VL  - 9
IS  - 3
ER  -

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