Impact of body temperature at admission on inhospital outcomes in patients with takotsubo syndrome: insights from the Tokyo Cardiovascular Care Unit Network Registry

Background: Takotsubo syndrome occasionally occurs in patients with fever due to underlying diseases. However, the impact of body temperature on inhospital prognosis of patients with takotsubo syndrome remains unknown. Methods: Using the patient cohort in the Tokyo Cardiovascular Care Unit Network Registry from 2013 to 2015, we identified 421 eligible patients whose data on body temperature at admission were available and classified them into three groups: high body temperature group (≥37.5°C; n=27), normal body temperature group (36.0–37.4°C; n=319), and low body temperature group (≤35.9°C; n=75). We compared the patient characteristics and inhospital outcomes among the three groups. Results: On admission, the high body temperature group showed a higher proportion of men and preceding physical triggers, higher heart and respiratory rates, and higher C-reactive protein level than the other groups. Inhospital all-cause mortality was significantly higher in the high body temperature group than in the normal or low body temperature group (18.5% vs. 2.2% vs. 4.0%, respectively, P<0.001). Both cardiac mortality (11.1% vs. 1.3% vs. 1.3%, P=0.001) and non-cardiac mortality (7.4% vs. 0.9% vs. 2.7%, P=0.031) were also significantly higher in the high body temperature group. Multivariable logistic regression analysis showed that high body temperature (reference: normal body temperature) was significantly associated with higher inhospital mortality (adjusted odds ratio 4.22; 95% confidence interval 1.15–15.51; P=0.030). Conclusions: Our findings suggest that high body temperature at admission is a strong predictor of inhospital mortality in patients with takotsubo syndrome. Febrile takotsubo syndrome patients may need to be managed with recognition of life-threatening conditions from the time of diagnosis, no matter what the causes of fever are.

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What is the Connection between Normal Body Temperature and Chicken Likeness?

Journal of Clinical & Experimental Immunology ◽

10.33140/jcei.04.02.12 ◽

2019 ◽

Vol 4 (2) ◽

Keyword(s):

Body Temperature ◽

The Body ◽

Normal Body Temperature ◽

Male And Female ◽

Normal Body ◽

High Body ◽

Strong Relation

The objective of current study was to co-relate normal body temperature with chicken likeness. Body temperature is the normal temperature of the body. Usual body temperature may change in different situations such as by age, person, time of the day and activity. Thermometer is the instrument used to find out the temperature of the body. Total of 150 students took part in the recent study and they were the students of Bahauddin Zakariya University, Multan Pakistan. We arranged the instrument and then measured their body temperature. At the end we can concluded that there is a strong relation between these two variables. The male and female individuals with high body temperature are chicken lovers.

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Effect of exercise training on body temperature in the elderly: a retrospective cohort study

10.21203/rs.3.rs-21301/v1 ◽

2020 ◽

Author(s):

Koichiro Matsumura ◽

Toshiji Iwasaka ◽

Satoshi Mizuno ◽

Ikuko Mizuno ◽

Hikaru Hayanami ◽

...

Keyword(s):

Cohort Study ◽

Body Temperature ◽

Exercise Training ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

The Elderly ◽

Lower Body ◽

Normal Body Temperature ◽

Normal Body ◽

Temperature Group

Abstract Background Although rise in body temperature in the elderly has clinical benefits such as activating immune system, little is known regarding the mediator related to the elevation of body temperature. This study evaluated the effect of exercise training on body temperature and clarified the relationship between body temperature and body composition in the elderly. Methods In this retrospective cohort study, a total of 91 elderly participants performed aerobic and anaerobic exercise training twice a week for 2-year. Non-contact infrared thermometer and bioelectrical impedance analysis were performed at baseline and at 2-year. The participants were divided into 2 groups by baseline body temperature of 36.3℃; lower body temperature group (n = 67) and normal body temperature group (n = 24). Results Body temperature rose significantly after exercise training (36.04 ± 0.01 °C to 36.30 ± 0.02 °C, p < 0.0001) in the lower body temperature group, whereas there was no significant difference (36.35 ± 0.02 °C to 36.36 ± 0.03 °C, p = 0.39) in the normal body temperature group. A positive correlation was observed between the amount of change in body temperature and baseline body temperature (r = -0.68, p < 0.0001). Increase in skeletal muscle mass was an independent variable related to the rise in body temperature by the multivariate logistic regression analysis (odds ratio: 4.77, 95% confidence interval: 1.29–17.70, p = 0.02). Conclusions Exercise training raised body temperature in the elderly, especially those with lower baseline body temperature.

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Effect of Exercise Training on Body Temperature in the Elderly: A Retrospective Cohort Study

Geriatrics ◽

10.3390/geriatrics6010003 ◽

2021 ◽

Vol 6 (1) ◽

pp. 3

Author(s):

Koichiro Matsumura ◽

Toshiji Iwasaka ◽

Satoshi Mizuno ◽

Ikuko Mizuno ◽

Hikaru Hayanami ◽

...

Keyword(s):

Cohort Study ◽

Body Temperature ◽

Exercise Training ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

The Elderly ◽

Lower Body ◽

Normal Body Temperature ◽

Normal Body ◽

Temperature Group

Background: This study evaluated the effect of exercise training on body temperature and clarified the relationship between body temperature and body composition in the elderly. Methods: In this retrospective cohort study, a total of 91 elderly participants performed aerobic and anaerobic exercise training twice a week for 2 years. Non-contact infrared thermometer and bioelectrical impedance analysis were performed at baseline and at 2 years. Results: Mean age of study participants was 81.0 years. The participants were divided into two groups by baseline body temperature of 36.3 °C; lower body temperature group (n = 67) and normal body temperature group (n = 24). Body temperature rose significantly after exercise training in the lower body temperature group (36.04 ± 0.11 °C to 36.30 ± 0.13 °C, p < 0.0001), whereas there was no significant difference in the normal body temperature group (36.35 ± 0.07 °C to 36.36 ± 0.13 °C, p = 0.39). A positive correlation was observed between the amount of change in body temperature and baseline body temperature (r = −0.68, p < 0.0001). Increase in skeletal muscle mass was an independent variable related to the rise in body temperature by the multivariate logistic regression analysis (odds ratio: 4.77, 95% confidence interval: 1.29–17.70, p = 0.02). Conclusions: Exercise training raised body temperature in the elderly, especially those with lower baseline body temperature.

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Apical Takotsubo syndrome versus anterior acute myocardial infarction: findings from the Tokyo Cardiovascular Care Unit network registry

European Heart Journal Acute Cardiovascular Care ◽

10.1177/2048872618762638 ◽

2018 ◽

Vol 8 (1) ◽

pp. 86-95 ◽

Cited By ~ 7

Author(s):

Toshiaki Isogai ◽

Tsutomu Yoshikawa ◽

Tetsuro Ueda ◽

Tetsuo Yamaguchi ◽

Yoichi Imori ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Risk Difference ◽

Takotsubo Syndrome ◽

Cardiac Mortality ◽

Lower Systolic Blood Pressure ◽

Reactive Protein ◽

St Elevation ◽

Cardiovascular Care ◽

Unit Network

Background: Although the typical apical form of Takotsubo syndrome and anterior acute myocardial infarction have similar electrocardiographic and echocardiographic presentations, data on the clinical differences between the two disorders are limited. Methods: Using the Tokyo Cardiovascular Care Unit network registry, we identified patients hospitalised with apical Takotsubo syndrome ( n=540; 2010–2014) or anterior acute myocardial infarction ( n=2,806; 2013–2014) and created 522 age and sex-matched pairs (mean age 74.1 years; women 78.5%). We compared the clinical characteristics and inhospital outcomes between the two groups. Results: On admission, patients with apical Takotsubo syndrome showed a lower body mass index, less frequent chest pain/tightness, lower systolic blood pressure, higher heart rate, lower creatine kinase, higher C-reactive protein and brain natriuretic peptide, and less frequent ST-elevation than patients with anterior acute myocardial infarction. Patients with apical Takotsubo syndrome received catecholamine (12.8% vs. 24.5%, P<0.001) and intra-aortic balloon pumping (5.9% vs. 15.1%, P<0.001) less frequently. Despite similar all-cause mortality (5.4% vs. 7.9%, P=0.134), patients with apical Takotsubo syndrome showed lower cardiac mortality (2.1% vs. 6.7%, P<0.001; risk difference −4.6% (95% confidence interval −7.1% to −2.1%)) but higher non-cardiac mortality (3.3% vs. 1.1%, P=0.033; 2.1% (0.3%–3.9%)). In subgroup comparisons, patients with physically triggered Takotsubo syndrome had higher non-cardiac mortality (7.0%) than those with non-physically triggered Takotsubo syndrome (1.2%, P=0.001) or anterior acute myocardial infarction (1.1%, P<0.001). Conclusions: This study found that cardiac and non-cardiac mortality risks differed significantly between apical Takotsubo syndrome and anterior acute myocardial infarction. Our findings underscore the importance of differentiating between the two disorders for appropriate management.

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Is 37.0 °C still a normal body temperature?

TheScienceBreaker ◽

10.25250/thescbr.brk505 ◽

2021 ◽

Vol 07 (02) ◽

Author(s):

Margaux Héritier

Keyword(s):

Body Temperature ◽

Normal Body Temperature ◽

Normal Body

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Effects of successive carbon monoxide exposures on delayed neuronal death in mice under the maintenance of normal body temperature

Biochemical and Biophysical Research Communications ◽

10.1016/0006-291x(91)91893-h ◽

1991 ◽

Vol 179 (2) ◽

pp. 836-840 ◽

Cited By ~ 28

Author(s):

Hirohisa Ishimaru ◽

Toshitaka Nabeshima ◽

Akira Katoh ◽

Hirotaka Suzuki ◽

Taneo Fukuta ◽

...

Keyword(s):

Carbon Monoxide ◽

Body Temperature ◽

Neuronal Death ◽

Delayed Neuronal Death ◽

Normal Body Temperature ◽

Normal Body

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Recording of Normal Body Temperature and Effect of Hot and Cold Environment on It

Objective Structured Practical Examination in Physiology ◽

10.5005/jp/books/11053_47 ◽

2010 ◽

pp. 94-94

Author(s):

Aarti Mahajan

Keyword(s):

Body Temperature ◽

Cold Environment ◽

Normal Body Temperature ◽

Normal Body

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Distribution of Pediatric Vital Signs in the Emergency Department: A Nationwide Study

Children ◽

10.3390/children7080089 ◽

2020 ◽

Vol 7 (8) ◽

pp. 89

Author(s):

Woori Bae ◽

Kyunghoon Kim ◽

Bongjin Lee

Keyword(s):

Emergency Department ◽

Heart Rate ◽

Body Temperature ◽

Respiratory Rate ◽

Life Support ◽

Vital Signs ◽

Reference Ranges ◽

Normal Body Temperature ◽

Heart Rates ◽

Normal Body

To effectively use vital signs as indicators in children, the magnitude of deviation from expected vital sign distribution should be determined. The purpose of this study is to derive age-specific centile charts for the heart rate and respiratory rate of the children who visited the emergency department. This study used the Korea’s National Emergency Department Information System dataset. Patients aged <16 years visiting the emergency department between 1 January 2016 and 31 December 2017 were included. Heart rate and respiratory rate centile charts were derived from the population with normal body temperature (36 to <38 °C). Of 1,901,816 data points retrieved from the database, 1,454,372 sets of heart rates and 1,458,791 sets of respiratory rates were used to derive centile charts. Age-specific centile charts and curves of heart rates and respiratory rates showed a decline in heart rate and respiratory rate from birth to early adolescence. There were substantial discrepancies in the reference ranges of Advanced Paediatric Life Support and Pediatric Advanced Life Support guidelines. Age-based heart rate and respiratory rate centile charts at normal body temperature, derived from children visiting emergency departments, serve as new evidence-based data and can be used in follow-up studies to improve clinical care for children.

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The Importance of Changes in Body Temperature in Paediatric Surgery and Anaesthesia

Anaesthesia and Intensive Care ◽

10.1177/0310057x7300100606 ◽

1973 ◽

Vol 1 (6) ◽

pp. 480-485 ◽

Cited By ~ 5

Author(s):

Nerida M. Dilworth

Keyword(s):

Body Temperature ◽

Newborn Infant ◽

Paediatric Anaesthesia ◽

Considerable Importance ◽

Accidental Hypothermia ◽

Paediatric Surgery ◽

Normal Body Temperature ◽

Normal Body ◽

The Subject

An understanding of the maintenance of normal body temperature, and the manner in which surgery, anaesthesia, and related procedures may disturb thermoregulation, is of considerable importance in paediatric anaesthesia. The subject of accidental hypothermia, with particular reference to the newborn infant, is reviewed; and hyperpyrexia is briefly discussed.

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