| Home | E-Submission | Sitemap | Contact Us |  
J Korean Soc Emerg Med > Volume 23(3); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(3): 394-399.
Clinical Manifestations of Heat Stroke that Occur during a Marathon
Bum Sug Ma, Jung Hee Wee, Chun Song Youn, Soo Hyun Kim, Jeong Ho Park, Kyu Nam Park, Seung Pill Choi
Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cinarak21@paran.com
Due to an increased interest in health, there have been many types of marathon races for athletes and the general population. Marathon is an extremely difficult sport, therefore, many running injuries can occur. In this study, we aimed at characterization of injuries and clinical courses resulting from marathon induced heat stroke. Based on our findings, we provide suggestions for proper management of patients with marathon induced heat stroke.
We performed a retrospective study of 24 patients who visited the emergency department (ED) at Yeouido St. Mary's hospital between January 2000 and August 2011 with symptoms of heat stroke resulting from participation in a marathon race. We reviewed the medical records, which showed clinical presentation and laboratory findings.
Of the 24 patients, 20(83.3%) were men. Their average age was 38.1+/-8.4 years old and their average initial rectal temperature was 39.9+/-1.3degrees C. Seventeen (70.8%) patients came to the ED complaining of syncope and seven(29.2%) came because of mental change. In follow-up laboratory tests, ten patients showed an increased level of serum Creatine phosphokinase (CPK) to over 1,000 IU/L, six showed serum Aspartate aminotransferase (AST)/Alanine aminotransferase (ALT) to over 300 IU/L, four showed serum creatinine to over 2.0 mg/dL, and two showed an increase in serum troponin-I and MB fraction of creatine kinase. Results of initial laboratory tests showed normal AST/ALT levels, however, they started to rise between 12 to 24 hours, and reached the highest record after 2~3 days of hospitalization.
Marathon induced heat stroke can cause various complications, such as rhabdomyolysis, acute hepatic injury, acute renal failure, and metabolic acidosis. Therefore, we recommend follow-up and observation for patients with marathon induced heat stroke.
Key words: Heat stroke, Marathon, Clinical manifestations
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Related articles
Clinical analysis of head trauma  1993 December;4(2)
Clinical observation of Acute Carbamate Intoxication  1998 December;9(4)
A Case of Heat Stroke after a Marathon  2000 September;11(3)
Clinical Manifestations of Vivax Malaria Diagnosed Patients  2002 June;13(2)
Clinical Characteristics of Ischemic Stroke in Young Adults  2005 February;16(1)
Editorial Office
The Korean Society of Emergency Medicine
TEL: +82-62-226-1780   FAX: +82-62-224-3501   E-mail: 0012194@csuh.co.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine.                 Developed in M2PI