Burke A P, Afzal M N, Barnett D S, Virmani R
Department of Cardiovascular Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000, USA.
Am J Forensic Med Pathol. 1999 Mar;20(1):37-9. doi: 10.1097/00000433-199903000-00009.
We report a case of sudden cardiac death in a 12-year-old boy after rapid ingestion of a frozen slurry drink. The cause of death was determined to be a cardiac arrhythmia secondary to a previously undiagnosed cardiac rhabdomyoma with associated myocardial scarring. Ingestion of cold liquids has been associated with syncope, but not sudden cardiac death. In this case, bradycardia induced by cold-induced vasovagal reflex may have precipitated the terminal arrhythmia. Ingestion of cold liquids should be considered a potential trigger for fatal cardiac arrhythmias in patients with underlying heart disease.
我们报告了一例12岁男孩在快速饮用冷冻泥状饮料后发生心源性猝死的病例。死亡原因被确定为继发于先前未诊断出的心脏横纹肌瘤并伴有心肌瘢痕形成的心律失常。摄入冷饮与晕厥有关，但与心源性猝死无关。在该病例中，冷诱导的血管迷走反射引起的心动过缓可能促使了最终的心律失常。对于患有潜在心脏病的患者，应将摄入冷饮视为致命性心律失常的潜在触发因素。
