一名劳力性热射病患者并发急性心肌炎：一种罕见的关联。
Acute Myocarditis in a Patient with Exertional Heat Illness: A Rare Association.
作者信息
Shahzad Aamir, Khan Adeel Ahmad, Arif Muhammad Awais, Yousaf Zohaib
机构信息
Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Cardiology Department, Hamad Medical Corporation, Doha, Qatar.
出版信息
Eur J Case Rep Intern Med. 2020 Nov 6;7(12):002027. doi: 10.12890/2020_002027. eCollection 2020.
INTRODUCTION
Exertional heat illness (EHI) is common in hot weather among young athletes, outdoor manual workers and military personnel. EHI can involve multiple organs of the body, including the muscles, kidneys and brain; however, myocardium involvement is infrequent.
MATERIALS AND METHODS
We present the case of a 26-year-old male construction worker who worked outdoors in a hot arid environment. He presented with acute kidney injury and rhabdomyolysis and was diagnosed with EHI. During his hospital stay, he developed complete heart block, and cardiac MRI showed features of myocarditis. Work-up to identify other aetiologies of myocarditis was normal. This case highlights the effects of EHI on the myocardium.
CONCLUSION
It is important to keep in mind the various effects of EHI on the myocardium. Myocarditis due to EHI is rare, and conduction defects resulting from it might persist, necessitating specialist intervention.
LEARNING POINTS
Exertional heat illness (EHI) can cause end-organ damage and it is imperative to keep in mind the various effects of EHI on the myocardium.Myocarditis due to EHI is rare, and conduction defects resulting from it might persist, requiring specialist intervention.
引言
劳力性热射病（EHI）在炎热天气中常见于年轻运动员、户外体力劳动者和军事人员。EHI可累及身体多个器官，包括肌肉、肾脏和大脑；然而，心肌受累并不常见。
材料与方法
我们报告一例26岁男性建筑工人的病例，他在炎热干旱的户外环境中工作。他出现急性肾损伤和横纹肌溶解，并被诊断为EHI。在住院期间，他出现完全性心脏传导阻滞，心脏磁共振成像显示心肌炎特征。排查心肌炎其他病因的检查结果正常。该病例突出了EHI对心肌的影响。
结论
牢记EHI对心肌的各种影响很重要。EHI所致心肌炎罕见，其导致的传导缺陷可能持续存在，需要专科干预。
学习要点
劳力性热射病（EHI）可导致终末器官损伤，必须牢记EHI对心肌的各种影响。EHI所致心肌炎罕见，其导致的传导缺陷可能持续存在，需要专科干预。
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