Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2009

Open Access 01-12-2009 | Case report

Myocardial damage after prolonged accidental hypothermia: a case report

Authors: Eftychios Siniorakis, Spyridon Arvanitakis, Georgia Roulia, Petros Voutas, Constantinos Karidis

Published in: Journal of Medical Case Reports | Issue 1/2009

Login to get access

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.
Literature
2.
go back to reference Danzl D, Pozos R: Accidental hypothermia. N Engl J Med. 1994, 331: 1756-1760. 10.1056/NEJM199412293312607.CrossRefPubMed Danzl D, Pozos R: Accidental hypothermia. N Engl J Med. 1994, 331: 1756-1760. 10.1056/NEJM199412293312607.CrossRefPubMed
3.
go back to reference Solomon A, Batish RA, Browne B, Tso E: The electrocardiographic features of hypothermia. J Emerg Med. 1989, 7: 169-173. 10.1016/0736-4679(89)90265-5.CrossRefPubMed Solomon A, Batish RA, Browne B, Tso E: The electrocardiographic features of hypothermia. J Emerg Med. 1989, 7: 169-173. 10.1016/0736-4679(89)90265-5.CrossRefPubMed
4.
go back to reference Kerebel S, Jego C, Barbou F, Cellarier G, Laurent P, Bouchiat C, Carlioz R: Osborn J wave. A new "channel pathology"? A case report. Ann Cardiol Angeiol. 2006, 55: 282-285. 10.1016/j.ancard.2006.05.002.CrossRef Kerebel S, Jego C, Barbou F, Cellarier G, Laurent P, Bouchiat C, Carlioz R: Osborn J wave. A new "channel pathology"? A case report. Ann Cardiol Angeiol. 2006, 55: 282-285. 10.1016/j.ancard.2006.05.002.CrossRef
5.
go back to reference Baughman K, Wynne J: Heart Disease: A textbook of cardiovascular medicine. Edited by: Braunwald E. 2005, Elsevier Saunders, 1713-7 Baughman K, Wynne J: Heart Disease: A textbook of cardiovascular medicine. Edited by: Braunwald E. 2005, Elsevier Saunders, 1713-7
6.
go back to reference Rainio P, Sormunen R, Lepojarvi M, Nissinen J, Kaukoranta P, Penhkurinen K: Ultrastructural changes during continuous retrograde warm and mild hypothermic blood cardioplegia for coronary bypass operations. J Thorac Cardiovasc Surg. 1995, 110: 81-88. 10.1016/S0022-5223(05)80012-1.CrossRefPubMed Rainio P, Sormunen R, Lepojarvi M, Nissinen J, Kaukoranta P, Penhkurinen K: Ultrastructural changes during continuous retrograde warm and mild hypothermic blood cardioplegia for coronary bypass operations. J Thorac Cardiovasc Surg. 1995, 110: 81-88. 10.1016/S0022-5223(05)80012-1.CrossRefPubMed
7.
go back to reference Dean D, Jia C, Cabreriza S: Retrograde coronary perfusion: effects on iatrogenic oedema and diastolic properties. Ann Thorac Surg. 1998, 65: 449-453. 10.1016/S0003-4975(97)01305-2.CrossRefPubMed Dean D, Jia C, Cabreriza S: Retrograde coronary perfusion: effects on iatrogenic oedema and diastolic properties. Ann Thorac Surg. 1998, 65: 449-453. 10.1016/S0003-4975(97)01305-2.CrossRefPubMed
8.
go back to reference Rainio P, Kaukoranta P, Sormunen R, Juvonen T, Penhkurinen K: Ultrastructural changes in myocardium during hypothermic retrograde blood cardioplegia. Scand Cardiovasc J. 1998, 32: 353-359. 10.1080/14017439850139807.CrossRefPubMed Rainio P, Kaukoranta P, Sormunen R, Juvonen T, Penhkurinen K: Ultrastructural changes in myocardium during hypothermic retrograde blood cardioplegia. Scand Cardiovasc J. 1998, 32: 353-359. 10.1080/14017439850139807.CrossRefPubMed
9.
go back to reference Hiramitsu S, Morimoto S, Kato S: Transient ventricular wall thickening in acute myocarditis: a serial echocardiographic and histopathologic study. Jpn Circ J. 2001, 65: 863-866. 10.1253/jcj.65.863.CrossRefPubMed Hiramitsu S, Morimoto S, Kato S: Transient ventricular wall thickening in acute myocarditis: a serial echocardiographic and histopathologic study. Jpn Circ J. 2001, 65: 863-866. 10.1253/jcj.65.863.CrossRefPubMed
10.
go back to reference Assomull R, Pennell D, Prasad S: Cardiovascular magnetic resonance in the evaluation of heart failure. Heart. 2007, 93: 985-992. 10.1136/hrt.2003.025304.CrossRefPubMedPubMedCentral Assomull R, Pennell D, Prasad S: Cardiovascular magnetic resonance in the evaluation of heart failure. Heart. 2007, 93: 985-992. 10.1136/hrt.2003.025304.CrossRefPubMedPubMedCentral
11.
go back to reference Sechtem U, Mahrholdt H, Vogelsberg H: Cardiac magnetic resonance in myocardial disease. Heart. 2007, 93: 1520-1527. 10.1136/hrt.2005.067355.CrossRefPubMed Sechtem U, Mahrholdt H, Vogelsberg H: Cardiac magnetic resonance in myocardial disease. Heart. 2007, 93: 1520-1527. 10.1136/hrt.2005.067355.CrossRefPubMed
12.
go back to reference Zagrosec A, Wassmuth R, Abdel-Aty H, Rudolph A, Dietz R, Schulz-Menger J: Relation between myocardial oedema and myocardial mass during the acute and convalescent phase of myocarditis - a CMR study. J Cardiovasc Magn Reson. 2008, 10: 19-10.1186/1532-429X-10-19.CrossRef Zagrosec A, Wassmuth R, Abdel-Aty H, Rudolph A, Dietz R, Schulz-Menger J: Relation between myocardial oedema and myocardial mass during the acute and convalescent phase of myocarditis - a CMR study. J Cardiovasc Magn Reson. 2008, 10: 19-10.1186/1532-429X-10-19.CrossRef
13.
go back to reference Sultan N, Theakston KD, Butler R, Suri RS: Treatment of severe accidental hypothermia with intermittent hemodialysis. CJEM. 2009, 11: 174-177.PubMed Sultan N, Theakston KD, Butler R, Suri RS: Treatment of severe accidental hypothermia with intermittent hemodialysis. CJEM. 2009, 11: 174-177.PubMed
14.
15.
go back to reference Walpoth B, Walpoth-Aslan B, Mattle H: Outcome of survivors of accidental deep hypothermia and circulatory arrest treated with extracorporeal blood warming. N Engl J Med. 1997, 337: 1500-1505. 10.1056/NEJM199711203372103.CrossRefPubMed Walpoth B, Walpoth-Aslan B, Mattle H: Outcome of survivors of accidental deep hypothermia and circulatory arrest treated with extracorporeal blood warming. N Engl J Med. 1997, 337: 1500-1505. 10.1056/NEJM199711203372103.CrossRefPubMed
Metadata
Title
Myocardial damage after prolonged accidental hypothermia: a case report
Authors
Eftychios Siniorakis
Spyridon Arvanitakis
Georgia Roulia
Petros Voutas
Constantinos Karidis
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2009
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.4076/1752-1947-3-8459

Other articles of this Issue 1/2009

Journal of Medical Case Reports 1/2009 Go to the issue