Acute kidney injury and sinus bradycardia associated with near-drowning

Keywords: Near-drowning, acute kidney injury, sinus bradycardia


Acute kidney injury (AKI) occurs in different situations and may have a variable prognosis due to underlying cause, clinical setting and comorbidity. Near-drowning is known to lead to bradycardic rhythms which can lead to hypoxia because of hypoperfusion. AKI has a high risk of mortality and morbidity. However, sequelae of sinus bradycardia are related to its underlying etiology. Urinary, cardiovascular and respiratory disorders are more frequently seen after near-drowning. Near-drowning related AKI and sinus bradycardia are not reported together in the literature. We aimed to emphasize these complications in near-drowning patients.


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Alp A, Akdam H, Meteoğlu İ. et al. Acute kidney injury after near drowning: the way from the beach to hemodialysis. Hemodialysis İnternational 2016; 20: 1–4. DOI: 10.1111/hdi.12321.

Spicer ST, Quinn D, Nyi Nyi NN. et al. Acute renal impairment after immersion and near-drowning. J Am Soc Nephrol. 1999; 10: 382–6. Availiable from: URL:

Sidhu S, Marine JE. Evaluating and managing bradycardia. Trends Cardiovasc Med. 2020 Jul;30(5):265-272. doi: 10.1016/j.tcm.2019.07.001.

Thanel F. Near drowning. Rescuing patients through education as well as treatment. Postgrad Med. 1998; 103:149–153. DOI: 10.3810/pgm.1998.06.511.

Seong EY, Rhee H, Lee N. et al. A case of severe acute kidney injury by near-drowning. J Korean Med Sci. 2012; 27: 218–220. DOİ: 10.3346/jkms.2012.27.2.218.

Hegde SN, Anupama YJ. Acute renal failure secondary to rhabdomyolysis following near-drowning in sea water. J Assoc Physicians India. 2003; 51: 512–513. Availiable from: URL:

Wung SF. Bradyarrhythmias: clinical presentation, diagnosis, and management. Crit Care Nurs Clin North Am. 2016; 28(3): 297-308. DOI: 10.1016/j.cnc.2016.04.003.

Guasch E, Mont L. Diagnosis, pathophysiology, and management of exercise-induced arrhythmias. Nat Rev Cardiol. 2017; 14(2): 88-101. DOI: 10.1038/nrcardio.2016.173.

Keffeler J, Frank M, Derr C. A 6-Year-Old Male Cold Water Near Drowning Where You Might Least Expect It. Air Med J. 2017; 36(6): 339-340. DOI: 10.1016/j.amj.2017.08.002.

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How to Cite
Kemeç, Z., & Gürel, A. (2020). Acute kidney injury and sinus bradycardia associated with near-drowning. Ukrainian Journal of Nephrology and Dialysis, (4(68), 18-22.