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

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....

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Main Authors:	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
Format:	Article
Language:	English
Published:	Elsevier 2021-01-01
Series:	JACC: Case Reports
Subjects:	accidental hypothermia anesthesia echocardiography myocardial deformation speckle tracking 3-dimensional imaging
Online Access:	http://www.sciencedirect.com/science/article/pii/S2666084920311852

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spelling	doaj-2148ddbbcfea4abdb63546bab27736342021-06-07T06:57:35ZengElsevierJACC: Case Reports2666-08492021-01-013199103Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche BurialKady Fischer, PhD0Annegret Kauert-Willms, MD1Paul Philipp Heinisch, MD2Alexander Kadner, MD3Hansjörg Jenni, MAS4Balthasar Eberle, MD5Gabor Erdoes, MD, PhD6Dominik P. Guensch, MD7Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment 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.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.)http://www.sciencedirect.com/science/article/pii/S2666084920311852accidental hypothermiaanesthesiaechocardiographymyocardial deformationspeckle tracking3-dimensional imaging
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	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
spellingShingle	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 Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial JACC: Case Reports accidental hypothermia anesthesia echocardiography myocardial deformation speckle tracking 3-dimensional imaging
author_facet	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
author_sort	Kady Fischer, PhD
title	Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial
title_short	Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial
title_full	Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial
title_fullStr	Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial
title_full_unstemmed	Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial
title_sort	resolution of strain abnormalities during extracorporeal rewarming from accidental hypothermic cardiac arrest following avalanche burial
publisher	Elsevier
series	JACC: Case Reports
issn	2666-0849
publishDate	2021-01-01
description	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.)
topic	accidental hypothermia anesthesia echocardiography myocardial deformation speckle tracking 3-dimensional imaging
url	http://www.sciencedirect.com/science/article/pii/S2666084920311852
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Resolution of Strain Abnormalities During Extracorporeal Rewarming From Accidental Hypothermic Cardiac Arrest Following Avalanche Burial

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