Abstract
This is a two-dimensional and Doppler echocardiographic study of the hemodynamic changes in patients with heatstroke and heat exhaustion. It demonstrates that the hemodynamic changes in severe heat exposure reflect a hyperdynamic circulation with tachycardia and high cardiac output states. Relative hypovolemia was more pronounced in patients with heatstroke compared to patients with heat exhaustion. Signs of peripheral vasoconstriction were more often present in patients with heatstroke, while patients with heat exhaustion more often demonstrated peripheral vasodilatation.
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Anderson RJ, Reed J, Knochel J. Heat Stroke. Yearbook Medical Publisher, Inc.; 1983: 115-140.
Knochel JP. Heat stroke and related heat stress disorders. Dis Mon 1989; 34: 306-377.
Knochel JP. Environmental heat illness. An eclectic review. Arch Intern Med 1974; 133: 841-864.
Tek D, Olshaker JS. Heat illness. Emerg Med Clin North Am 1992; 10: 299-310.
Clowes GH, O'Donnell TF. Heat stroke. N Engl J Med 1974; 291: 564-567.
Tucker LE, Stanford J, Graves B, Swetnam J, Hamburger S, Anwar A. Classical heatstroke: Clinical and laboratory assessment. South Med J 1985; 78: 20-25.
Hart GR, Anderson RJ, Crumpler CP, Shulkin A, Reed G, Knochel JP. Epidemic classical heat stroke: Clinical characteristics and course in 28 patients. Medicine 1982; 61: 189-197.
O'Donnel TF, Clowes GH. The circulatory abnormalities of heat stroke. N Engl J Med 1972; 287: 734-737.
Sprung CL. Hemodynamic alterations of heat stroke in the elderly. Chest 1979; 75: 362-366.
Zagher D, Moses A, Weiss A. Evidence of prolonged myocardial dysfunction in heat stroke. Chest 1989; 95: 1089-1091.
Yaqub BA, Al-Harthi SS, Al-Orainy IO, Laajam MA, Obeid MT. Heat stroke at the Mekkah Pilgrimage: Clinical characteristics and course of 30 patients. Q J Med 1986; 229: 523-530.
Al-Harthi SS, Karrar O, Al-Mashhadani SA, Saddique AA. Metabolite and hormonal profiles in heat stroke patients and Mecca pilgrimage. J Intern Med 1990; 228: 343-346.
Seraj MA, Channa AB, Al-Harthi SS, Khan FM, Zafrullah A, Samarkandi AH. Are heat stroke patients fluid depleted? Importance of monitoring central venous pressure as a simple guideline for fluid therapy. Resuscitation 1991; 21: 33-39.
Dahmash NS, Al-Harthi SS, Akhtar J. Invasive evaluation of patients with heat stroke. Chest 1993; 103: 1210-1214.
Akhtar MJ, Al-Nozha M, Al-Harthi S, Nouh MS. Electrogardiographic abnormalities in patients with heat stroke. Chest 1993; 104: 411-414.
Al-Harthi SS, Nouh MS, Al-Arfaj H, Qaraquish A, Akhtar J, RM. Non-invasive evaluation of cardiac abnormalities in heat stroke pilgrims. Int J Cardiol 1992; 37: 151-154.
Al-Harthi SS, Sharaf El-Deane MS, Akhtar J, Al-Nozha MM. Hemodynamic changes and intravascular hydration state in heat stroke. Ann Saudi Med 1989; 9: 378-383.
Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, Gutgesell H, Reichek N, Sahn D, Schnittger I, Silverman NH, Tajik AJ. Recommendations for quantitation of the left ventricle by two dimensional echocardiography: American Society of Echocardiography Comittee on Standards Subcomittee. J Am Soc Echo 1989; 2: 358-367.
Gutman J, Wang YS, Wahr D, Schiller NB. Normal left atrial function determined by 2-dimensional echocardiography. Am J Cardiol 1983; 51: 336-340.
Knochel JP, Beisel WR, Herndon EG, Gerard ES, Barry KG. The renal, cardiovascuar, hematological and serum electrolytes abnormalities of heat stroke. Am J Med 1961; 30: 299-309.
Schrier RW, Hano J, Keller HI, Finkel RM, Gillilard PF, Cirksena WJ, Teschan PE. Renal, metabolic and circulatory responses to heat and exercise. Ann Intern Med 1970; 73: 213-223.
Sprung CL, Portocarrero CJ, Fernaine AV, Weinberg PF. The metabolic and respiratory alterations of heat stroke. Arch Intern Med 1980; 140: 665-669.
O'Donnell TF. Acute heat stroke. Epidemiologic, biochemical, renal, and coagulation studies. JAMA 1975; 234: 824-828.
Costrini AM, Pitt HA, Gustafson AB, Uddin DE. Cardiovascular and metabolic manifestations of heat stroke and severe exhaustion. Am J Medicine 1979; 66:296-302.
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Shahid, M.S., Hatle, L., Mansour, H. et al. Echocardiographic and Doppler study of patients with heatstroke and heat exhaustion. Int J Cardiovasc Imaging 15, 279–285 (1999). https://doi.org/10.1023/A:1006070708952
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DOI: https://doi.org/10.1023/A:1006070708952