{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:50:16Z","timestamp":1777661416330,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["High Altitude Medicine &amp; Biology"],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:p>\n                    Libersa, Marie, Louis Marxer, Ken Zafren, Stephane Oggier, Lorenzo Pucci, and Mathieu Pasquier. Takotsubo cardiomyopathy following complete avalanche burial: a case report.\n                    <jats:italic toggle=\"yes\">High Alt Med Biol<\/jats:italic>\n                    . 24:149\u2013151, 2023.\u2014Takotsubo cardiomyopathy is a transient left ventricular dyskinesia triggered by a stressful physical or emotional event. We report a case of mid-ventricular Takotsubo stress cardiomyopathy in an avalanche victim. The patient was a 41-year-old woman who was completely buried under 1.2\u2009m of snow for 30 minutes. On arrival at the hospital, she was conscious and hypothermic (core temperature 33.7\u00b0C). Her ECG showed rapid atrial fibrillation (142 beats\/min) that converted to sinus rhythm after rewarming and administration of crystalloids. Echocardiography showed akinesia of the left mid-ventricle with a left ventricular ejection fraction of 41%. At 48-hour follow-up, echocardiography showed an almost complete recovery. During her hospital stay the patient was diagnosed with an acute stress disorder with symptoms of dissociation. She was discharged home after 5 days. At 2-week follow-up echocardiography was normal. Psychological follow-up was normal at 7 months. The physical and psychological stress of the avalanche, as well as hypothermia, were all possible triggers of Takotsubo cardiomyopathy.\n                  <\/jats:p>","DOI":"10.1089\/ham.2023.0026","type":"journal-article","created":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T14:07:28Z","timestamp":1685628448000},"page":"149-151","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Takotsubo Cardiomyopathy Following Complete Avalanche Burial: A Case Report"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0602-7172","authenticated-orcid":false,"given":"Marie","family":"Libersa","sequence":"first","affiliation":[{"name":"Intensive Care Department, Valais Hospital, Sion, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis","family":"Marxer","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Valais Hospital, Vi\u00e8ge, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4928-840X","authenticated-orcid":false,"given":"Ken","family":"Zafren","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University Medical Center, Stanford, California, USA."},{"name":"Department of Emergency Medicine, Alaska Native Medical Center, Anchorage, Alaska, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephane","family":"Oggier","sequence":"additional","affiliation":[{"name":"Air-Glaciers, Sion, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Pucci","sequence":"additional","affiliation":[{"name":"Honorary Fellow, Royal Brompton and Harefield Hospitals, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0042-5909","authenticated-orcid":false,"given":"Mathieu","family":"Pasquier","sequence":"additional","affiliation":[{"name":"Emergency Department, Lausanne University Hospital, Lausanne, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"issue":"7","key":"e_1_3_5_2_1","doi-asserted-by":"crossref","first-page":"229761","DOI":"10.1136\/bcr-2019-229761","article-title":"Hypothermia-triggered biventricular Takotsubo cardiomyopathy: The octopus that survived the polar vortex","volume":"12","author":"Ajam M","year":"2019","unstructured":"Ajam M, , Shokr M, , Ajam F, et al. Hypothermia-triggered biventricular Takotsubo cardiomyopathy: The octopus that survived the polar vortex. BMJ Case Rep, 2019; 12(7):e229761.","journal-title":"BMJ Case Rep"},{"issue":"1","key":"e_1_3_5_3_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4037\/ccn2009451","article-title":"The \u201cbroken heart syndrome\u201d: Understanding Takotsubo cardiomyopathy","volume":"29","author":"Derrick D","year":"2009","unstructured":"Derrick D. The \u201cbroken heart syndrome\u201d: Understanding Takotsubo cardiomyopathy. Crit Care Nurse, 2009; 29(1):49\u201357; quiz 58. 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A case of Takotsubo cardiomyopathy induced by accidental hypothermia and diabetic ketoacidosis. BMJ Case Rep, 2013; 2013:bcr2012008143.","journal-title":"BMJ Case Rep"},{"issue":"1","key":"e_1_3_5_6_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s13049-021-00912-3","article-title":"; Northern French-Alps Emergency Network (\u201cRENAU\u201d). Survivors of avalanche accidents: Posttraumatic stress disorder symptoms and quality of life: A multicentre study","volume":"29","author":"L\u00e9onard C","year":"2021","unstructured":"L\u00e9onard C, , Charriau-Perret A, , Debaty G, et al. ; Northern French-Alps Emergency Network (\u201cRENAU\u201d). Survivors of avalanche accidents: Posttraumatic stress disorder symptoms and quality of life: A multicentre study. Scand J Trauma Resusc Emerg Med, 2021; 29(1):96.","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"10","key":"e_1_3_5_7_1","first-page":"10842","article-title":"A case of takotsubo cardiomyopathy triggered by diabetic ketoacidosis and hypothermia","volume":"12","author":"Mhanna M","year":"2020","unstructured":"Mhanna M, , Beran A, , Srour O, et al. A case of takotsubo cardiomyopathy triggered by diabetic ketoacidosis and hypothermia. 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