Lesione miocardica indotta dal monossido di carbonio: meccanismi, rimodellamento strutturale e implicazioni cliniche.

INTRODUCTION: Carbon monoxide (CO) poisoning remains a leading cause of toxic exposure worldwide. Beyond hypoxic injury, CO exerts direct cardiotoxic effects that contribute to both short- and long-term morbidity and mortality. Myocardial injury occurs frequently after CO exposure, including in patients without known coronary artery disease, and is associated with an increased risk of death, heart failure, and arrhythmias months to years after exposure. Nonetheless, cardiac injury often goes clinically unrecognized and is inconsistently evaluated in acute care settings. METHODS: A comprehensive scoping review was performed to summarize evidence published from between January 1990 and to Dec