Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial

Kady Fischer, PhD; Annegret Kauert-Willms, MD; Paul Philipp Heinisch, MD; Alexander Kadner, MD; Hansjörg Jenni, MAS; Balthasar Eberle, MD; Gabor Erdoes, MD, PhD; Dominik P. Guensch, MD

JACC: Case Reports (Jan 2021)

Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial

Kady Fischer, PhD,
Annegret Kauert-Willms, MD,
Paul Philipp Heinisch, MD,
Alexander Kadner, MD,
Hansjörg Jenni, MAS,
Balthasar Eberle, MD,
Gabor Erdoes, MD, PhD,
Dominik P. Guensch, MD

Affiliations

Kady Fischer, PhD: Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Annegret Kauert-Willms, MD: Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Paul Philipp Heinisch, MD: Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Alexander Kadner, MD: Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Hansjörg Jenni, MAS: Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Balthasar Eberle, MD: Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Gabor Erdoes, MD, PhD: Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Dominik P. Guensch, MD: Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Address for correspondence: Dr. Dominik P. Guensch, Department of Anaesthesiology and Pain Medicine, Bern University Hospital, Inselspital, Freiburgstrasse 10, 3010 Bern, Switzerland.

Journal volume & issue: Vol. 3, no. 1
pp. 99 – 103

Abstract

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A hypothermic avalanche victim underwent, during extracorporeal warming from asystolic arrest, 3-dimensional transesophageal echocardiography. At 33°C core temperature, left ventricular ejection fraction had recovered, whereas myocardial strain still demonstrated significant dysfunction until 36°C. Deformation analysis seems more sensitive than global assessment during myocardial recovery from hypothermic cardiac arrest. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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