This case highlights that while exertional heat stroke is rare in women, it can occur and presents with characteristic features including abnormal myocardial conduction.
Exertional heat stroke may occur in women with myocardial conduction abnormalities; this case leaves open questions on prevalence and cardiac risks.
Exertional heat stroke (EHS) is an acute life-threatening emergency that necessitates the immediate institution of cooling measures. Reported here is a case of EHS in a nonacclimatized young woman who was undergoing strenuous exercise. The patient developed many of the characteristic features of EHS, including central nervous system disturbances, lactic acidosis, rhabdomyolysis, coagulopathy, and abnormal myocardial conduction. While EHS is relatively common in young men, the condition is rare in women. This case presentation addresses gender differences in the response to the thermal stress of intense physical activity.
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Sidman et al. (1995) studied this question.
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