Reversible acute left ventricular dysfunction in accidental strangulation.
OBJECTIVE
: To report reversible acute left ventricular dysfunction after accidental strangulation in an 8-year-old boy.


METHODS
: Case report.


METHODS
: Pediatric intensive care unit in a tertiary care teaching hospital.


METHODS
: Review of the medical record and clinical course of the patient who developed cardiogenic shock and pulmonary edema after strangulation.


METHODS
: Mechanical ventilation, monitoring of cardiovascular status, and serial evaluation of cardiac enzymes.


RESULTS
: In the acute period, electrocardiogram showed transient global ST elevation with rise of cardiac enzymes and global left ventricular hypokinesia. Hemodynamic status improved over 24 hrs with resolution of electrocardiogram findings and left ventricular dysfunction.


CONCLUSIONS
: Exaggerated sympathetic stimulation due to strangulation can result in acute reversible myocardial dysfunction mimicking myocardial infarction.
Sivanandan
Sindhu
S
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Sinha
Aditi
A
Juneja
Rajnish
R
Lodha
Rakesh
R
D000061:Accidents, Home; D000208:Acute Disease; D001237:Asphyxia / Q000150:complications* / Q000175:diagnosis; D001784:Blood Gas Analysis; D002648:Child; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010102:Oxygen Inhalation Therapy; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013902:Radiography, Thoracic; D020127:Recovery of Function; D018570:Risk Assessment; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*