Ischemic electrocardiographic changes and elevated troponin from severe heatstroke in an adolescent.

Authors:
Address: Dallas Regional Medical Center, Mesquite, TX, USA. antonio.muniz2050@gmail.com
Journal:

Publication:

abstract

BACKGROUND:

heatstroke can result in significant diffuse tissue derangement, which can result in multiple organ system dysfunction. The heart can equally be affected and ischemia and infarction may occur.

OBJECTIVE:

This study aimed to present the potential complications from heatstroke to the myocardium.

CASE:

A case of a 15-year-old adolescent boy who collapsed after playing football in a hot summer day was found to be hyperthermic and poorly perfused. He had Ischemic electrocardiographic changes and elevated cardiac enzymes but with normal coronary arteries.

CONCLUSIONS:

Heatstroke can lead to morbidity and mortality. Tissue damage during heatstroke is believed to result from uncoupling during oxidative phosphorylation. It is important to realize that heart damage can occur from heatstroke and that appropriate diagnostic and therapeutic measures are required for a good outcome.

Related Articles
Heatstroke in the super-sized athlete.
Pediatr Emerg Care. 2006
Heatstroke in the super-sized athlete.
Fink E, Brandom BW, Torp KD. Pediatr Emerg Care. 2006 Jul; 22(7):510-3.
Hot on the inside.
Emerg Med Serv. 2003
Hot on the inside.
Weinmann M. Emerg Med Serv. 2003 Jul; 32(7):34.
A case of severe heat stroke with abnormal cardiac findings.
Int Heart J. 2005
A case of severe heat stroke with abnormal cardiac findings.
Wakino S, Hori S, Mimura T, Miyatake S, Fujishima S, Aikawa N. Int Heart J. 2005 May; 46(3):543-50.
Review Heatstroke.
Semin Neurol. 2005
Review Heatstroke.
Sucholeiki R. Semin Neurol. 2005 Sep; 25(3):307-14.
Review Clinical biochemistry of hyperthermia.
Ann Clin Biochem. 2010
Review Clinical biochemistry of hyperthermia.
Hashim IA. Ann Clin Biochem. 2010 Nov; 47(Pt 6):516-23. Epub 2010 Oct 6.

To top • Home

TraveldoctorOnline 2001 • Disclaimer • webmaster

The contents within traveldoctoronline are presented only for informational purposes and cannot substitute for professional health care or any other medical treatment.All users of this website with health problems should be oblige always to consult their medical doctor before starting any treatment.