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August 16, 1971, Vol 217, No. 7 >
ARTICLE | August 16, 1971

Fatal Heat Stroke

Theodore Lawrence, MD
JAMA. 1971;217(7):967. doi:10.1001/jama.1971.03190070075030.
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To the Editor.—  In the report of fatal heat stroke in an 18-year-old football player (216:1195, 1971) one important aspect of the case was neglected in the discussion. Although the boy was said to have been initially in "excellent health," it was found at the onset of the acute illness that his blood urea nitrogen (BUN) level was 90 mg/100 ml and at autopsy the heart greatly enlarged, weighing 750 gm. These facts suggest that there had been chronic hypertensive cardiovascular renal disease.It is well known1 that hot, humid weather is stressful to the circulatory system and that persons with limited cardiac output do poorly in hot weather as the skin circulation is inadequate for body temperature control. Football is notorious in this regard and every effort should be made to eliminate persons with heart disease from this sport. It would be interesting to know whether the

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