Skip to main content
Log in

Wirkungen von Kohlenmonoxid auf das kardiovaskuläre System

  • Übersichtsbeiträge
  • Published:
Umweltwissenschaften und Schadstoff-Forschung Aims and scope Submit manuscript

Zusammenfassung

Wirkungen einer Kohlenmonoxidhypoxie bis zu 25% Carboxyhämoglobin auf das kardiovaskuläre System werden beschrieben. Dabei wird von bekannten Wirkprinzipien, insbesondere der CO-Bindung an Hämoproteine, des HALDANE-Effektes und von Änderungen im Energiehaushalt aufgrund der Tendenz zum anaeroben Stoffwechsel ausgegangen. Empfindlich reagieren ältere Personen, Menschen mit einer Vorschädigung des Herzkreislaufsystems und der Fetus, darauf weisen morphologische, funktionelle und biochemische Veränderungen hin. Bei Exponierten imponieren Kompensations- und Adaptationsreaktionen, die aber unter gewissen Voraussetzungen mit Regressivelementen verbunden sein können. Die Aussage vorliegender epidemiologischer Daten ist gering.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  • Anderson, E. W.;R. J. Andelman;J. Strauch;N. J. Fortuin;J. H. Knelson: Effect of low-level carbon monoxide exposure on onset and duration of angina pectoris. Ann. Int. Med.79, 46–50 (1973)

    CAS  Google Scholar 

  • Armitage, A. K.;R. F. Davies;D. M. Turner: The effects of carbon monoxide on the development of atherosclerosis in the white carneau pigcon. Atherosclerosis23, 333–334 (1976)

    Article  CAS  Google Scholar 

  • Aronow, W. S.: Effect of passive smoking on angina pectoris. New Engl. J. Med.299, 21–24 (1978)

    CAS  Google Scholar 

  • Aronow, W. S.: Aggravation of angina pectoris by two percent carboxyhemoglobin. Amer. Heart J.101, 154–157 (1981)

    Article  CAS  Google Scholar 

  • Aronow, W. S.;M. W. Isbell: Carbon monoxide effect on exercise-induced angina pectoris. Ann. Int. Med.79, 392–395 (1973)

    CAS  Google Scholar 

  • Aronow, W. S.;W. J. Schlueter;M. A. Williams;M. Petratis;M. H. Sketch: Aggravation of exercise performance in patients with anemia by 3% carboxyhemoglobin. Environm. Res.35, 394–398 (1984)

    Article  CAS  Google Scholar 

  • Aronow, W. S.;E. A. Stemmer;M. W. Isbell: Effect of carbon monoxide exposure on intermittent claudication. Circulation49, 415–417 (1974)

    CAS  Google Scholar 

  • Aronow, W. S.;E. A. Stemmer;B. Wood;S. Zweig;K.-P. Tsao;L. Raggio: Carbon monoxide and ventricular fibrillation threshold in dogs with acute myocardial injury. Amer. Heart J.95, 754–756 (1978)

    Article  CAS  Google Scholar 

  • Astrup, P.: Pathologische Wirkungen mäßiger Kohlenmonoxid-Konzentrationen. Stab—Reinh. Luft32, 146–150 (1972)

    CAS  Google Scholar 

  • Austrup, P.;K. Kjeldsen;J. Wanstrup: Enhancing influence of carbon monoxide on the development of atheromatosis in cholesterol-fed rabbits. J. Atheroscler. Res.7, 343–354 (1967)

    Google Scholar 

  • Ayres, S. M.;S. Giannelli;H. Mueller: Myocardial and systemic responses to carboxyhemoglobin. Ann. N. Y. Acad. Sci.174, I, 268–293 (1970)

    Article  CAS  Google Scholar 

  • Brüne, B.;V. Ullrich: Inhibition of platelet aggregation by carbon monoxide is mediated by activation of guanylate cyclase. Mol. Pharmacol.32, 497–504 (1987)

    Google Scholar 

  • Clubb, F. J.;D. G. Penney;M. S. Baylerian;S. P. Bishop: Cardiomegaly due to myocyte hyperplasia in perinatal rats exposed to 200 ppm carbon monoxide. J. Mol. Cell Cardiol.18, 477–486 (1986)

    Article  CAS  Google Scholar 

  • Cohen, S. I.;M. Deane;J. R. Goldsmith: Carbon monoxide and survival from myocardial infarction. Arch. Environm. Health19, 510–517 (1969)

    CAS  Google Scholar 

  • Dahlström, H.;G. Obreschkow;T. Sjöstrand: A comparison between the effects of carbon monoxide poisoning and inhalation of air with low oxygen content upon respiration, circulation, alkaline reserve of the plasma and patellar reflex in normal subjects and in cases of „chronic producer gas poisoning”. Acta pharmacol. et toxicol.3, 105–123 (1947)

    Google Scholar 

  • Datsenko, I. I.;T. M. Hladyshevska;L. T. Tchoa;B. A. Sobchuk: Myoglobin in intoxication of the organism with carbon monoxide. Ukrain. Biochim. Z.45, 146–150 (1973)

    CAS  Google Scholar 

  • Davies, R. F.;D. L. Topping;D. M. Turner: The effect of intermittent carbon monoxide exposure on experimental atherosclerosis in the rabbit. Atherosclerosis24, 527–536 (1976)

    Article  CAS  Google Scholar 

  • De Bias, D. A.;C. M. Banerjee;N. C. Birkhead;C. H. Greene;S. D. Scott;W. V. Harrer: Effects of carbon monoxide inhalation on ventricular fibrillation. Arch. Environm. Health31, 42–46 (1978)

    Google Scholar 

  • De Bias, D. A.;C. M. Banerjee;N. C. Birkhead;W. V. Harrer;L. A. Kazal: Carbon monoxide inhalation effects following myocardial infarction in monkeys. Arch. Environm. Health27, 161–167 (1973)

    Google Scholar 

  • Dwyer, D. M.;G. M. Turino: Carbon monoxide and cardiovascular disease. New Engl. J. Med.321, 1474–1475 (1989)

    Google Scholar 

  • Einzig, S.;D. M. Nicoloff;R. V. Lucas: Myocardial perfusion abnormalities in carbon monoxide poisoned dogs. Canad. J. Physiol. Pharmacol.58, 396–405 (1980)

    CAS  Google Scholar 

  • Ekblom, B.;R. Hout: Response to submaximal and maximal exercise at different levels of carboxyhemoglobin. Acta physiol. scand.86, 474–482 (1972)

    CAS  Google Scholar 

  • Fechter, L. D.;M. Thakur;B. Miller;Z. Annau;U. Srivastava: Effects of prenatal carbon monoxide exposure on cardiac development. Toxicol. Appl. Pharmacol.56, 370–375 (1980)

    Article  CAS  Google Scholar 

  • Gräser, T.;Y. P. Vedernikov;D. S. Li: Study on the mechanism of carbon monoxide induced endothelium independent relaxation in porcine coronary artery and vein. Biomed. Biochim. Acta49, 293–296 (1990)

    Google Scholar 

  • Gras, G.: L’intoxication oxycarbonée aiguë et ses manifestations cardio-vasculaires (a propos de 960 observations). Masson, Paris 1967

    Google Scholar 

  • Heistad, D. H.;R. C. Wheeler: Effect of carbon monoxide on reflex vasoconstriction in man. J. Appl. Physiol.32, 7–11 (1972)

    CAS  Google Scholar 

  • Henschler, D.: Zur Problematik der Grenzwerte (MAK, MIK) bei inhalativen Noxen. Pneumonologie150, 77–82 (1974)

    Article  CAS  Google Scholar 

  • Henschler, D. (Hrsg.): Passivrauchen am Arbeitsplatz. VCH Weinheim 1985

    Google Scholar 

  • Hernberg, S.;R. Kärävä;R.-S. Koskela;K. Luoma: Angina pectoris, ECG findings and blood pressure of foundry workers in relation to carbon monocide exposure. Scand. J. Work Environm. & Health2, Suppl. 1, 54–63 (1976)

    CAS  Google Scholar 

  • Hexter, A. C.;J. R. Goldsmith: Carbon monoxide association of community air pollution with mortality. Science172, 265–267 (1971)

    Article  CAS  Google Scholar 

  • Hinderliter, A. L.;K. F. Adams;C. J. Price;M. C. Herbst;G. Koch;D. S. Sheps: Effects of low-level carbon monoxide exposure on resting and exercise-induced ventricular arrhythmias in patients with coronary artery disease and no baseline ectopy. Arch. Environm. Health44, 89–93 (1989)

    CAS  Google Scholar 

  • Horvath, S. M.;T. E. Dahms;J. F. O’Hanlon: Carbon monoxide and human vigilance. A deletetious effect of present urban concentrations. Arch. Environm. Health23, 343–347 (1971)

    CAS  Google Scholar 

  • Hugod, C.;L. H. Hawkins;K. Kjeldsen;H. K. Thomson;P. Astrup: Effect of carbon monoxide exposure on aortic and coronary intimal morphology in the rabbit. Atherosclerosis30, 333–342 (1978)

    Article  CAS  Google Scholar 

  • Jain, K. K.: Carbon monoxide poisoning. Warren H. Green, Inc. St. Louis, Missouri, USA 1990

    Google Scholar 

  • Jones, J. G.;A. Sinclair: Arterial disease amongst blast furnace workers. Ann. occup. Hyg.18, 15–20 (1975)

    Article  CAS  Google Scholar 

  • Kalmaz, E. V.;L. W. Canter;J. W. Hampton: Effect of long-term low and moderate levels of carbon monoxide exposure on platelet counts of rabbits. J. Environm. Pathol. Toxicol.4, 351–358 (1980)

    CAS  Google Scholar 

  • Kanten, W. E.;D. G. Penney;K. Francisco;J. E. Thill: Hemodynamic responses to acute carboxyhemoglobinemia in the rat. Amer. J. Physiol.244, H320-H327 (1983)

    CAS  Google Scholar 

  • Kaul, B.;J. Calabro;D. E. Hutcheon: Effects of carbon monoxide on the vulnerability of the ventricles to drug induced arrhythmias. J. clin. Pharmacol. & J. New Drugs14, 25–31 (1974)

    CAS  Google Scholar 

  • Killick, E. M.: The nature of acclimatization occurring during repeated exposure of the human subject to atmospheres containing low concentrations of carbon monoxide. J. Physiol.107, 27–44 (1948)

    CAS  Google Scholar 

  • Kjeldsen, K.;P. Astrup;J. Wanstrup: Ultrastructural intimal changes in the rabbit aorta after a moderate carbon monoxide exposure. Atherosclerosis16, 67–82 (1972)

    Article  CAS  Google Scholar 

  • Kjeldsen, K.;H. K. Thomsen;P. Astrup: Effects of carbon monoxide on myocardium. Ultrastructural changes in rabbits after moderate, chronic exposure. Circulation Res.34, 339–348 (1974)

    CAS  Google Scholar 

  • Kleinman, M. T.;D. M. Davidson;R. B. Vandagriff;V. J. Caiozzo;J. L. Whittenberger: Effects of short-term exposure to carbon monoxide in subjects with coronary artery disease. Arch. Environm. Health44, 361–369 (1989)

    CAS  Google Scholar 

  • Knelson, J. H.: Luftqualitätskriterien und Immissionsgrenzwerte für Kohlenmonoxid in den Vereinigten Staaten. Staub—Reinhalt. Luft32, 180–185 (1972)

    Google Scholar 

  • Kuller, L. H.;E. P. Radford;D. Swift;J. A. Perper;R. Fisher: Carbon monoxide and heart attacks. Arch. Environm. Health30, 477–482 (1975)

    CAS  Google Scholar 

  • Mall, T.;M. Grossenbacher;A. P. Perruchoud;R. Ritz: Influence of moderately elevated levels of carboxyhemoglobin on the course of acute ischemic heart disease. Respiration48, 237–244 (1985)

    CAS  Google Scholar 

  • Mansouri, A.;C. A. Perry: Inhibition of platelet ADP and serotonin release by carbon monoxide and in cigarette smokers. Experimentia40, 515–517 (1984)

    Article  CAS  Google Scholar 

  • Pankow, D.: Toxikologie des Kohlenmonoxids. Volk u. Gesundheit, Berlin 1981

    Google Scholar 

  • Pankow, D.;B. Pankow;W. Ponsold: Gibt es bei Rauchern Anpassungsreaktionen an die Verminderung der Sauerstofftransportkapazität des Blutes infolge der chronischen Kohlenmonoxid-Inhalation? Dt. Gesundh.-Wesen31, 2045–2048 (1976)

    CAS  Google Scholar 

  • Pankow, D.;W. Ponsold: Biochemische Aspekte der Adaptation des Organismus an Kohlenmonoxid. Arbeitsmedizininformation13, 150–152 (1986)

    Google Scholar 

  • Penney, D. G.: Carbon monoxide induced cardiac hypertrophy. In:R. Zak (Hrsg.): Growth of the heart in health and disease. Raven Press, New York 1984, 337–362

    Google Scholar 

  • Penney, D. G.: A review: Hemodynamic response to carbon monoxide. Environm. Health Persp.77, 121–130 (1988)

    Article  CAS  Google Scholar 

  • Penney, D. G.: Acute carbon monoxide poisoning: animal models: A review. Toxicology62, 123–160 (1990)

    Article  CAS  Google Scholar 

  • Penney, D.;M. Benjamin;E. Dunham: Effect of carbon monoxide on cardiac weight as compared with altitude effects. J. Appl. Physiol.37, 80–84 (1974)

    CAS  Google Scholar 

  • Prigge, E.;D. Hochrainer: Effects of carbon monoxide inhalation on erythropoiesis and cardiac hypertrophy in fetal rats. Toxicol. Appl. Pharmacol.42, 225–228 (1977)

    Article  CAS  Google Scholar 

  • Raff, H.;R. W. Goldmann;E. P. Kindwall: Adrenocortical function after carbon monoxide exposure in humans. Arch. Environm. Health40, 88–90 (1985)

    CAS  Google Scholar 

  • Rink, R. D.: The acute effects of nicotine, tobacco smoke and carbon monoxide on myocardial oxygentension in anaesthesized cat. Brit. J. Pharmacol.62, 591–597 (1978)

    CAS  Google Scholar 

  • Sarma, J. S. M.;H. Thillmanns;S. Ikeda;R. J. Bing: The effect of carbon monoxide on lipid metabolism of human coronary arteries. Atherosclerosis22, 193–198 (1975)

    Article  CAS  Google Scholar 

  • Schirmer, E.;H. Schwartze: Effect of mild chronic hypoxia on the infantile heart: ECGs of guinea pigs pre-and postnatally treated with carbon monoxide. Biomed. Biochim. Acta48, S118-S121 (1989)

    CAS  Google Scholar 

  • Schmidt, P.: Biologische Kontrollmethoden in der Arbeitsmedizin. Verlag Volk und Gesundheit Berlin 1988

    Google Scholar 

  • Schütz, H.;G. Machbert;H. J. Gibitz;G. Machata;L. von Meyer: Photometrische Bestimmung von Carboxyhämoglobin (COHb) im Blut. VCH Weinheim 1988

    Google Scholar 

  • Sekiya, S.;S. Sato;H. Yamaguchi;K. Harumi: Effects of carbon monoxide inhalation on myocardial infarct size following experimental coronary artery ligation. Jap. Heart J.24, 407–416 (1983)

    CAS  Google Scholar 

  • Tiedt, N.;H. Leisner;W.-D. Kaiser;P. Böttner;R. Uhlig: Kohlenmonoxidintoxikation durch Tabakrauch. Mitt.-B. Ges. exper. Med. DDR26, 3, 8–15 (1989)

    Google Scholar 

  • Thomsen, H. K.: Carbon monoxide induced atherosclerosis in primates. An electron-microscopic study on the coronary arteries of Macaca irus monkeys. Atherosclerosis20, 233–240 (1974)

    Article  CAS  Google Scholar 

  • Truhaut, R.;C. Boudene;J. R. Claude;B. Jacotot: Recherches sur les effets de l’exposition prolongée du lapin et du rat à de très faibles concentrations d’oxyde de carbone. III. Étude de l’action sur le système cardiovasculaire. Arch. Mal. prof.29, 189–196 (1968)

    CAS  Google Scholar 

  • Turino, G. M.: Effect of carbon monoxide on the cardiorespiratory system. Carbon monoxide toxicity: Physiology and biochemistry. Circulation63, 253A-259A (1981)

    CAS  Google Scholar 

  • Wanstrup, J.;K. Kjeldsen;P. Astrup: Acceleration of spontaneous intimal-subintimal changes in rabbit aorta by a prolonged moderate carbon monoxide exposure. Acta pathol. microbiol. scand.75, 353–362 (1969)

    CAS  Google Scholar 

  • Werner, B.;W. Bäck;H. Akerblom;P. O. Barr: Two cases of acute monoxide poisoning with delayed neurological sequelae after a „free” interval. Clin. Toxicol.,23, 249–265 (1985)

    Article  CAS  Google Scholar 

  • Zorn, H.: Die chronische Kohlenmonoxidvergiftung. Med. Klin.70, 441–451 (1975)

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pankow, D., Hoffmann, P. Wirkungen von Kohlenmonoxid auf das kardiovaskuläre System. UWSF - Z. Umweltchem. Ökotox. 5, 320–326 (1993). https://doi.org/10.1007/BF02937981

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02937981

Navigation