International Heart Journal
Online ISSN : 1349-3299
Print ISSN : 1349-2365
ISSN-L : 1349-2365
Case Reports
Acute Heart Failure Syndrome Associated With Snow Shoveling
Masahiro ItoTakashi YamamotoKenichi TakakuNanako TsutsuiMayumi SasagawaSatoru HironoToshiya SuzukiMakoto Kodama
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2012 Volume 53 Issue 6 Pages 394-395


There have been only a few reports regarding the relation between snow shoveling and acute heart failure syndromes (AHFS). We present a case series of 5 patients who presented with AHFS, all within 5 days after shoveling snow. Although all patients underwent examination at a regular out-patient clinic, no patient had prior signs or symptoms of heart failure. The condition of all patients had gradually deteriorated, with no abrupt onset of dyspnea after shoveling snow. Four of the 5 patients demonstrated a preserved ejection fraction on echocardiography. Snow shoveling may lead to AHFS in patients who are at risk for developing heart failure.

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© 2012 by the International Heart Journal Association
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