Delayed ST-Segment Elevation after Electrical Injury Mimicking Acute Myocardial Infarction: A Case Study
Delayed ST-Segment Elevation after Electrical Injury
Keywords:
Electrical injury, ST segment elevation, electrocardiographic changesAbstract
Electrical injury can cause cardiac problems and various electrocardiographic (ECG) changes. It has been suggested that an electrical current may permanently damage the cardiac conduction tissue and predispose to late dysrhythmia. Less serious delayed transient ECG changes have also been described after electrical injury, such as ST segment elevation. In the emergency department, a patient who has chest pain and ECG changes should be investigated through his history about any previous electrical injury, so that we can differentiate myocardial infarction and other cardiac problems mimicking it.Here, we report a man with delayed ST Segment Elevation due to electric shock. Although he had frankly normal coronary arteries by coronary angiography, myocardial infarction was objectively evident by cardiac enzymes & electrocardiography. He was discharged in good health with non-specific electrocardiographic changes. [Dalvani V NJIRM 2015; 6(1):107-110]
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electricalinjury. Cardiol Clin, 1995;13:263-266.
13. ChandraNC, SiuCO, MunsterAM. Clinical
predictors of myocardial damage after high
voltage electrical injury. CritCare Med,
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electrical injuries: Significance of early
elevation of CPK-MBisoenzymes. SouthMedJ,
1986;79:414-416.
15. McGillMP, KampTJ, RahkoPS. High-voltage
injuryre sulting in permanent right heart
dysfunction. Chest, 1999; 115:586-587.
16. KirchmerJT, LarsonDL, TysonKR.
Cardiacrupture following electrical injury.
JTrauma, 1977;17:389-391.
9. OlivaPB, BreckinridgeJC. Acutemy ocardialin
farction with nor-maland near normal
coronary arteries. Documentation with coronaryarterio
graphy withi n121/2hours of the
onset of sym-ptomsin two cases
(threeepisodes). AmJCardiol, 1977; 40:1000-
1007.
10. KoumbourlisAC. Electrical injuries. CritCare
Med, 2002; 30(suppl.11):S424-S430.
11. Housinger TA, reenL, ShahangianS, SaffleJR,
WardenGD. Aprospective study of myocardial
damage in electrical injuries. JTrauma,
1985;25: 122 -124.
12. CarletonSC. Cardiacproblems associated with
electricalinjury. Cardiol Clin, 1995;13:263-266.
13. ChandraNC, SiuCO, MunsterAM. Clinical
predictors of myocardial damage after high
voltage electrical injury. CritCare Med,
1990;18:293-297
14. HammondJ, WardCG. My ocardial damage and
electrical injuries: Significance of early
elevation of CPK-MBisoenzymes. SouthMedJ,
1986;79:414-416.
15. McGillMP, KampTJ, RahkoPS. High-voltage
injuryre sulting in permanent right heart
dysfunction. Chest, 1999; 115:586-587.
16. KirchmerJT, LarsonDL, TysonKR.
Cardiacrupture following electrical injury.
JTrauma, 1977;17:389-391.
ndrupU.Electrical injury causing ventricular
arrhythmias.BrHeartJ1987;57:279-83.
2. BurdaCD. Electrocardiographic changes in
lightning stroke.AmHeartJ1966;72:521-4.
3. Purdue GF, HuntJL. Electrocardiographic
monitoring after electrical injury: Necessity or
luxury. JTrauma,1986;26:166-167.
4. CooperMA.Electrical and lightning injuries.
Emerg Med ClinNorth Am,1984;2:489-501.
5. XenopoulosN, MovahedA, HudsonP, Reeves
WC. Myocardial injury in electrocution.
AmHeartJ ,1991;122:1481-1484.
6. BaubionN,MetzgerJP,HeulinA,GrosdemougeA,
DeVernejoulP,VacheronA.Myocardialinfarctio
n caused by electric injury. Value of
coronarography(inFrench).AnnMedInterne
(Paris),1985; 136: 659-662.
7. OltmanCL, ClarkCB, KaneNL etal. Coronary
vasculardys- function associated with direct
current shockinjury. Basic ResCardiol , 2003;
98:406-415.
8. JamesTN, RiddickL, EmbryJH. Cardiacab norma
lities demon- strated post-mortem in four
cases of accidental electrocution and their
potential significance relative to non fatalel
ectrical injuries of the heart.
AmHeartJ,1990;120:143-157.
9. OlivaPB, BreckinridgeJC. Acutemy ocardialin
farction with nor-maland near normal
coronary arteries. Documentation with coronaryarterio
graphy withi n121/2hours of the
onset of sym-ptomsin two cases
(threeepisodes). AmJCardiol, 1977; 40:1000-
1007.
10. KoumbourlisAC. Electrical injuries. CritCare
Med, 2002; 30(suppl.11):S424-S430.
11. Housinger TA, reenL, ShahangianS, SaffleJR,
WardenGD. Aprospective study of myocardial
damage in electrical injuries. JTrauma,
1985;25: 122 -124.
12. CarletonSC. Cardiacproblems associated with
electricalinjury. Cardiol Clin, 1995;13:263-266.
13. ChandraNC, SiuCO, MunsterAM. Clinical
predictors of myocardial damage after high
voltage electrical injury. CritCare Med,
1990;18:293-297
14. HammondJ, WardCG. My ocardial damage and
electrical injuries: Significance of early
elevation of CPK-MBisoenzymes. SouthMedJ,
1986;79:414-416.
15. McGillMP, KampTJ, RahkoPS. High-voltage
injuryre sulting in permanent right heart
dysfunction. Chest, 1999; 115:586-587.
16. KirchmerJT, LarsonDL, TysonKR.
Cardiacrupture following electrical injury.
JTrauma, 1977;17:389-391.
9. OlivaPB, BreckinridgeJC. Acutemy ocardialin
farction with nor-maland near normal
coronary arteries. Documentation with coronaryarterio
graphy withi n121/2hours of the
onset of sym-ptomsin two cases
(threeepisodes). AmJCardiol, 1977; 40:1000-
1007.
10. KoumbourlisAC. Electrical injuries. CritCare
Med, 2002; 30(suppl.11):S424-S430.
11. Housinger TA, reenL, ShahangianS, SaffleJR,
WardenGD. Aprospective study of myocardial
damage in electrical injuries. JTrauma,
1985;25: 122 -124.
12. CarletonSC. Cardiacproblems associated with
electricalinjury. Cardiol Clin, 1995;13:263-266.
13. ChandraNC, SiuCO, MunsterAM. Clinical
predictors of myocardial damage after high
voltage electrical injury. CritCare Med,
1990;18:293-297
14. HammondJ, WardCG. My ocardial damage and
electrical injuries: Significance of early
elevation of CPK-MBisoenzymes. SouthMedJ,
1986;79:414-416.
15. McGillMP, KampTJ, RahkoPS. High-voltage
injuryre sulting in permanent right heart
dysfunction. Chest, 1999; 115:586-587.
16. KirchmerJT, LarsonDL, TysonKR.
Cardiacrupture following electrical injury.
JTrauma, 1977;17:389-391.
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Published
2018-01-09
How to Cite
Udgire, D., Dalvi, D. V., Mogal, D., Sanap, D., Pawar, D., & Punde, D. (2018). Delayed ST-Segment Elevation after Electrical Injury Mimicking Acute Myocardial Infarction: A Case Study: Delayed ST-Segment Elevation after Electrical Injury. National Journal of Integrated Research in Medicine, 6(1), 106–109. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/866
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