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Journal of critical care · Jun 2015
Causes of ischemic electrocardiographic changes in near drowning: A literature review.
- Hesham R Omar, Collin Sprenker, Gerardo Bosco, Devanand Mangar, and Enrico M Camporesi.
- Internal Medicine Department, Mercy Medical Center, Clinton, IA, USA. Electronic address: hesham.omar@apogeephysicians.com.
- J Crit Care. 2015 Jun 9.
AbstractDrowning is a main cause of accidental death among children and adolescents worldwide. Ischemic electrocardiographic (ECG) changes are often encountered in victims of near drowning. We reviewed the literature for near drowning cases reporting ischemic ECG changes to study the underlying etiology for these findings. Among the 8 cases included in the analysis, ischemic ECG changes were due to takotsubo cardiomyopathy (in elderly cases especially females); coronary artery spasm (in younger cases); or hypothermia effect on ECG; and, to a lesser extent, myocardial ischemia resulting from occlusive coronary artery disease.Copyright © 2015 Elsevier Inc. All rights reserved.
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