Carbon monoxide as a clinical marker of hemolysis

Carbon monoxide (CO)‐based tests have precisely measured hemolysis for over 40 years. End‐tidal CO was the primary marker in clinical hematology research, followed by carboxyhemoglobin. Quantification of CO reflects heme oxygenases degrading heme in a 1:1 stoichiometric ratio, making CO a direct mar...

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Veröffentlicht in:American journal of hematology 2023-07, Vol.98 (7), p.1127-1159
Hauptverfasser: Osborne, Jake, Sobh, Mohamad, Trudel, Guy
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Sobh, Mohamad
Trudel, Guy
description Carbon monoxide (CO)‐based tests have precisely measured hemolysis for over 40 years. End‐tidal CO was the primary marker in clinical hematology research, followed by carboxyhemoglobin. Quantification of CO reflects heme oxygenases degrading heme in a 1:1 stoichiometric ratio, making CO a direct marker of hemolysis. CO in alveolar air can be quantified using gas chromatography, whose high resolution allows detecting mild and moderate levels of hemolysis. CO can be elevated in active bleeding, resorbing hematoma, and smoking. Clinical acumen and other markers remain necessary to diagnose the cause of hemolysis. CO‐based tests constitute an opportunity for bench‐to‐bedside technology transfer.
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source Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Alveoli
Carbon monoxide
Carboxyhemoglobin
Gas chromatography
Hematology
Hematoma
Heme
Hemolysis
title Carbon monoxide as a clinical marker of hemolysis
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