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J Korean Soc Emerg Med > Volume 30(5); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(5): 464-467.
첫 증상이 심실세동에 의한 심정지인 열사병 1례
이동욱
순천향대학교 천안병원 응급의학과
A case of heat stroke in which first symptom as cardiac arrest with ventricular fibrillation
Dong-Wook Lee
Department of Emergency Medicine, Soon Chun Hyang University College of Medicine, Cheonan, Korea
Correspondence  Dong-Wook Lee ,Tel: 041-570-2119, Fax: 041-592-3806, Email: yisfm83@gmail.com,
Received: April 30, 2019; Revised: June 11, 2019   Accepted: June 13, 2019.  Published online: October 31, 2019.
ABSTRACT
Heat stroke is characterized by hyperthermia with an associated altered mental status. Most heat stroke patients experience a change in consciousness as the first symptom and show a variety of electrocardiography abnormalities. No prior case report has described heat stroke, in which the first symptom was cardiac arrest with ventricular fibrillation. A 67-year-old male presented to the emergency department with an altered mental status after a cardiac arrest. His electrocardiogram at the scene was ventricular fibrillation, and he recovered his spontaneous circulation after defibrillation. The heat stroke was treated with aggressive cooling. Emergency physicians should be aware that heat stroke can cause ventricular fibrillation and can be treated with defibrillation and aggressive cooling.
Key words: Heat stroke; Electrocardiography; Ventricular fibrillation
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