Document Detail

Reversible acute left ventricular dysfunction in accidental strangulation.
MedLine Citation:
PMID:  19131866     Owner:  NLM     Status:  MEDLINE    
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.
Sindhu Sivanandan; Aditi Sinha; Rajnish Juneja; Rakesh Lodha
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies     Volume:  10     ISSN:  1529-7535     ISO Abbreviation:  Pediatr Crit Care Med     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100954653     Medline TA:  Pediatr Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e5-8     Citation Subset:  IM    
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Accidents, Home*
Acute Disease
Asphyxia / complications*,  diagnosis
Blood Gas Analysis
Combined Modality Therapy
Drug Therapy, Combination
Echocardiography, Transesophageal
Follow-Up Studies
Oxygen Inhalation Therapy
Pulmonary Edema / diagnosis,  etiology*,  therapy
Radiography, Thoracic
Recovery of Function
Risk Assessment
Treatment Outcome
Ventricular Dysfunction, Left / diagnosis,  etiology*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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