Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sprung, C. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sprung, C. L.

Chest, Vol 75, 362-366, Copyright © 1979 by American College of Chest Physicians

ARTICLES

Hemodynamic alterations of heat stroke in the elderly

CL Sprung

Serial hemodynamic alterations were investigated in seven elderly patients with heat stroke. Their mean age was 72 +/- 6 years. The circulatory response to heat stroke was either hyperdynamic of hypodynamic. Two patients had increased cardiac index (4.3 and 4.4 L/min/m2), increased right atrial pressure (10 and 12 mm Hg), normal pulmonary capillary wedge pressure (10 and 12 mm Hg), and decreased systemic vascular resistance (542 and 738 dyne.sec.cm-5). Five patients had decreased cardiac index (mean 2.3 +/- 0.2 L/min/m2), decreased right atrial pressure (mean 2 +/- 1 mm Hg), normal pulmonary capillary wedge pressure (mean 6 +/- 3 mm Hg), and increased systemic vascular resistance (mean 2020 +/- 204 dyne.sec.cm-5). Circulatory failure appears to be secondary to peripheral pooling of blood or hypovolemia. The inability to compensate hemodynamically when stressed by heat may predispose certain elderly individuals to develop heat stroke.


This article has been cited by other articles:


Home page
 JAMAHome page
P. M. Marzuk, K. Tardiff, A. C. Leon, C. S. Hirsch, L. Portera, M. I. Iqbal, M. K. Nock, and N. Hartwell
Ambient Temperature and Mortality From Unintentional Cocaine Overdose
JAMA, June 10, 1998; 279(22): 1795 - 1800.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Physiol. Heart Circ. Physiol.Home page
M. T. Lin, H. H. Liu, and Y. L. Yang
Involvement of interleukin-1 receptor mechanisms in development of arterial hypotension in rat heatstroke
Am J Physiol Heart Circ Physiol, October 1, 1997; 273(4): H2072 - H2077.
[Abstract] [Full Text] [PDF]

Home page
 Clin. Chem.Home page
A. H. Alzeer, M. A. F. El-Hazmi, A. S. Warsy, Z. A. Ansari, and M. S. Yrkendi
Serum enzymes in heat stroke: prognostic implication
Clin. Chem., July 1, 1997; 43(7): 1182 - 1187.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1979 by the American College of Chest Physicians.