Prediction of troponin I and N-terminal pro-brain natriuretic peptide levels in acute carbon monoxide poisoning using advanced electrocardiogram analysis, Alexandria, Egypt

• Published in: Environmental science and pollution research international Vol. 28; no. 35; pp. 48754 - 48766
• Main Authors: Abdel Aziz, Manal Hassan, El Dine, Fatma Mohamed Magdy Badr, Hussein, Heba Abdel Samie Mohamed, Abdelazeem, Ahmed Mokhtar, Sanad, Israa Mahmoud
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2021; Springer Nature B.V
• Subjects: Accuracy; Aquatic Pollution; Atmospheric Protection/Air Quality Control/Air Pollution; Biomarkers; Blood; Brain natriuretic peptide; Calcium-binding protein; Carbon; Carbon monoxide; Carbon monoxide poisoning; Earth and Environmental Science; Ecotoxicology; EKG; Electrocardiography; Environment; Environmental Chemistry; Environmental Health; Environmental science; P waves; Parameters; Patients; Poisoning; Research Article; Troponin; Troponin I; Waste Water Technology; Water Management; Water Pollution Control; Wave dispersion; Electrocardiography; Acute carbon monoxide poisoning; NT-proBNP; Troponin I
• ISSN: 0944-1344; 1614-7499
• DOI: 10.1007/s11356-021-14171-3

The study aimed at assessing the diagnostic ability of advanced electrocardiogram (ECG) analysis to predict the levels of NT-proBNP and Troponin I. ECG and the blood NT-proBNP and Troponin I were taken from 50 acutely carbon monoxide poisoned patients and 21 control subjects matched with age and sex. The severity of the studied cases was classified into mild, moderate, and severe using clinical classification. ECG parameters (RR interval, corrected QT (QTc) interval, P wave dispersion (Pwd)), and cardiac biomarkers (NT-proBNP and Troponin I) were significantly higher in cases than in control ( p = 0.015, 0.008, 0.002, <0.001, and <0.001 respectively). Cut-off values resulted from combined ROC curves analysis can predict blood Troponin I more than 0.05 ng/ml and NT-proBNP more than 125 pg/ ml (with 88% and 84% accuracy respectively). In addition, two regression equations were developed using all studied ECG parameters to predict Troponin I and NT-proBNP (with 68% and 43% accuracy respectively). RR average, PR average, QRS average, QTd, QTc, and Pwd could be used to predict Troponin I and NT-proBNP levels with good accuracy in carbon monoxide poisoning patients.