Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2009
Reversible acute left ventricular dysfunction in accidental strangulation.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sivanandan Sindhu, Sinha Aditi, Juneja Rajnish, Lodha Rakesh
Аннотация
OBJECTIVE: : To report reversible acute left ventricular dysfunction after accidental strangulation in an 8-year-old boy.
DESIGN: : Case report.
SETTING: : Pediatric intensive care unit in a tertiary care teaching hospital.
PATIENT: : Review of the medical record and clinical course of the patient who developed cardiogenic shock and pulmonary edema after strangulation.
INTERVENTIONS: : Mechanical ventilation, monitoring of cardiovascular status, and serial evaluation of cardiac enzymes.
MEASUREMENTS AND MAIN RESULTS: : In the acute period, electrocardiogram showed transient global ST elevation with rise of cardiac enzymes and global left ventricular hypokinesia. Hemodynamic status improved over 24 hrs with resolution of electrocardiogram findings and left ventricular dysfunction.
CONCLUSIONS: : Exaggerated sympathetic stimulation due to strangulation can result in acute reversible myocardial dysfunction mimicking myocardial infarction.
DESIGN: : Case report.
SETTING: : Pediatric intensive care unit in a tertiary care teaching hospital.
PATIENT: : Review of the medical record and clinical course of the patient who developed cardiogenic shock and pulmonary edema after strangulation.
INTERVENTIONS: : Mechanical ventilation, monitoring of cardiovascular status, and serial evaluation of cardiac enzymes.
MEASUREMENTS AND MAIN RESULTS: : In the acute period, electrocardiogram showed transient global ST elevation with rise of cardiac enzymes and global left ventricular hypokinesia. Hemodynamic status improved over 24 hrs with resolution of electrocardiogram findings and left ventricular dysfunction.
CONCLUSIONS: : Exaggerated sympathetic stimulation due to strangulation can result in acute reversible myocardial dysfunction mimicking myocardial infarction.
Предметные рубрики MeSH
Accidents, HomeAcute DiseaseAsphyxiaBlood Gas AnalysisChildCombined Modality TherapyDrug Therapy, CombinationEchocardiography, TransesophagealElectrocardiographyFollow-Up StudiesHemodynamicsHumansMaleOxygen Inhalation TherapyPulmonary EdemaRadiography, ThoracicRecovery of FunctionRisk AssessmentTreatment OutcomeVentricular Dysfunction, Left