This is a two-dimensional and Doppler echocardiographic study of the hemody
namic changes in patients with heatstroke and heat exhaustion. It demonstra
tes that the hemodynamic changes in severe heat exposure reflect a hyperdyn
amic circulation with tachycardia and high cardiac output states. Relative
hypovolemia was more pronounced in patients with heatstroke compared to pat
ients with heat exhaustion. Signs of peripheral vasoconstriction were more
often present in patients with heatstroke, while patients with heat exhaust
ion more often demonstrated peripheral vasodilatation.