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The young man had been plays football with his friends on May 1st in Sullana, in the department of Piura, in northwestern Peru. He was an amateur player, part of the Los Rangers Club, a set of a local league.
Ludwin Flores Nole, 27, returned home after the match. As he did after greeting his wife, went to get a bottle of water from the fridge, served and drank quickly from a glbad. I was thirsty and very hot.
The tragedy unfolded unexpectedly and in a few minutes. "Shortly after his illness, his chest ached and we took him to a clinic, but he died on the way. The doctor told us that he had suffered a fulminant cardiac arrest, "said his wife to Peru21.
The case sparked a lively commotion across the country. Not only for the youth of man, but because the trigger would have been a very common practice: drink cold water after physical activity.
However, there is not much medical evidence that the consumption of an icy liquid can lead to death. Allen Patrick Burke, researcher at the Department of Cardiovascular Pathology at the Institute of Pathology of the Armed Forces, based in Washington DC, published an article in 1999 on this topic in American Journal of Forensic Pathology and Pathology.
The trigger of his investigation was the case of a 12-year-old boy who suffered sudden cardiac death after rapid ingestion of an icy drink. "The cause of death was determined to be a cardiac arrhythmia secondary to an undiagnosed cardiac rhabdomyoma with badociated myocardial scarring. Ingesting cold liquids has been badociated with syncope, but not with sudden cardiac death. In this case, the bradycardia induced by the vaso-vagal reflex induced by the cold may have precipitated the terminal arrhythmia. Ingesting cold liquids should be considered a potential trigger for fatal cardiac arrhythmias in patients with underlying heart disease, "Burke said in the publication.
The conclusion is clear: although heat shock can cause arrhythmia, there must be a previous pathology to end in a heart attack. A possible hypothesis of the death of Ludwin Flores Nole Suffers From Undiagnosed Heart Disease.
More studied is the impact that may have submerge in the frozen water. "The water driving the thermal energy 30 times more effectively than the air, the cold water diving will have a more pronounced effect on the body temperature than in the air at the same of course, we also tend to be less when we swim, so we lose more heat simply because the skin is more exposed, "says Dr. Thomas H. Lee, Press Ganey Medical Director, in a publication of 2010 Harvard Health Publishing.
"The body 's normal response to the cold," he continues, "whether it is in the water or in the air, is to adopt a defensive stance and try to keep as much warmth as possible. Cold water loses less heat if there is less warm blood flowing through the skin and through the body parts covered with a large area, such as the fingers and toes. As a result, the blood is diverted from the ends of the body to its core (trunk and head) and the blood vessels of the skin are tightened. "
Ganey concludes that this impact can affect the heart. But can hardly lead to myocardial infarction without previous pathology.
"The neurological signals that constrict the blood vessels also have cardiovascular effects: the blood pressure, the heart rate, the amount of blood pumped at each heartbeat, all increase. The result can be an attack of angina of heart by a heart that works harder and without enough oxygen to meet your needs.. You can also develop abnormal heart rhythms. "
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