{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:46:18Z","timestamp":1793378778851,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Drowning is a common cause of childhood morbidity and mortality worldwide. Anoxia, hypothermia, and metabolic acidosis are mainly responsible for this morbidity. Drowning may lead to multiple organ damage, especially cardiac damage, in cases in which severe hypothermia and hypoxemia occur. We report a case of a 4-year-old girl who was admitted to our hospital\u2019s Emergency Department because of drowning. She had elevated troponin I concentrations and ST-segment elevation with T wave inversion. However, cardiovascular computed tomography showed no obvious abnormalities in the coronary arteries. We suggest that cardiac damage in this situation is caused by coronary artery spasms. To the best of our knowledge, this is the first case of cardiac damage with electrocardiographic changes after drowning in a preschool child.<\/jats:p>","DOI":"10.1177\/03000605241233516","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T04:27:47Z","timestamp":1710736067000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Transient changes in the ST-T waveform mimicking myocardial infarction in a child with near-drowning: a case report"],"prefix":"10.1177","volume":"52","author":[{"given":"Jianmin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Traditional Chinese Medicine, Children\u2019s Hospital of Soochow University, Suzhou, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitao","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Children\u2019s Hospital of Soochow 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