tailieunhanh - Báo cáo y học: "Myocardial damage after prolonged accidental hypothermia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Myocardial damage after prolonged accidental hypothermia: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Myocardial damage after prolonged accidental hypothermia a case report Eftychios Siniorakis Spyridon Arvanitakis Georgia Roulia Petros Voutas and Constantinos Karidis Address Sotiria Chest Disease Hospital Mesogeion Avenue Athens Greece Email ES - siniotef@ SA - sarvanitakis@ GR - groulia@ PV - mike23878@ CK - siniotef@ Corresponding author Received 17 October 2008 Accepted 24 April 2009 Published 8 July 2009 Journal ofMedical Case Reports 2009 3 8459 doi 1752-1947-3-8459 This article is available from http jmedicalcasereports article view 8459 2009 Siniorakis et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction A case of cardiac toxicity due to prolonged hypothermia is reported. Case presentation A 42-year-old woman of Caucasian origin presented with hypothermia after an accident. She developed atrial fibrillation and heart failure with minor electrocardiographic changes which mimicked ischaemia. She recovered completely after one month of treatment for heart failure. Conclusion Prolonged hypothermia which mimicks ischaemia may cause arrhythmias and heart failure. Introduction Substantial thermopathology may ensue when the human body is exposed to extremely low temperatures 1 . Every unintentional decline in the core temperature below 35 C is considered to be accidental hypothermia and when the effect is protracted the term of prolonged accidental hypothermia PAHT is used. Nuclei in the pre-optic anterior hypothalamus coordinate heat conservation. Activation of these thermostats and the cutaneous cold receptors initiate a cascade of compensatory physiologic events

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