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 |
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creator | Osborne, Jake 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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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.</description><subject>Alveoli</subject><subject>Carbon monoxide</subject><subject>Carboxyhemoglobin</subject><subject>Gas chromatography</subject><subject>Hematology</subject><subject>Hematoma</subject><subject>Heme</subject><subject>Hemolysis</subject><issn>0361-8609</issn><issn>1096-8652</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kD1PwzAQhi0EoqUw8AdQJBYY0vo79lhVfKoSC8zWJXHUlCQuNhH03-OSwoDEcnfDc4_uXoTOCZ4SjOkM1qsplVqoAzQmWMtUSUEP0RgzSeKM9QidhLDGmBCu8DEasYxSqZQaI7IAn7suaV3nPuvSJhASSIqm7uoCmqQF_2p94qpkZVvXbEMdTtFRBU2wZ_s-QS-3N8-L-3T5dPewmC_TghGmUiFLEEWWgyoLHE-gQJioGOUqVs5yZhUHrivNFaOMSMs4iRsAkFGhJWMTdDV4N9699Ta8m7YOhW0a6Kzrg6GKaJplmdihl3_Qtet9F6-LFBVYaBWNE3Q9UIV3IXhbmY2v44NbQ7DZ5WhijuY7x8he7I193tryl_wJLgKzAfioG7v932Tmj_eD8gvvgXkU</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Osborne, Jake</creator><creator>Sobh, Mohamad</creator><creator>Trudel, Guy</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5254-4294</orcidid><orcidid>https://orcid.org/0000-0003-0164-7490</orcidid></search><sort><creationdate>202307</creationdate><title>Carbon monoxide as a clinical marker of hemolysis</title><author>Osborne, Jake ; Sobh, Mohamad ; Trudel, Guy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3138-56da5c7ba8dc06092a135f32485f343b3e84a49f94832316e341da5aaa7259633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Alveoli</topic><topic>Carbon monoxide</topic><topic>Carboxyhemoglobin</topic><topic>Gas chromatography</topic><topic>Hematology</topic><topic>Hematoma</topic><topic>Heme</topic><topic>Hemolysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osborne, Jake</creatorcontrib><creatorcontrib>Sobh, Mohamad</creatorcontrib><creatorcontrib>Trudel, Guy</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osborne, Jake</au><au>Sobh, Mohamad</au><au>Trudel, Guy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carbon monoxide as a clinical marker of hemolysis</atitle><jtitle>American journal of hematology</jtitle><addtitle>Am J Hematol</addtitle><date>2023-07</date><risdate>2023</risdate><volume>98</volume><issue>7</issue><spage>1127</spage><epage>1159</epage><pages>1127-1159</pages><issn>0361-8609</issn><eissn>1096-8652</eissn><abstract>Carbon monoxide (CO)‐based tests have precisely measured hemolysis for over 40 years. 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subjects | Alveoli Carbon monoxide Carboxyhemoglobin Gas chromatography Hematology Hematoma Heme Hemolysis |
title | Carbon monoxide as a clinical marker of hemolysis |
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