Myocardial injury in electrocution

Xenopoulos, N.P.; Movahed, Assad; Hudson, Page; Reeves, William C.

doi:10.1016/0002-8703(91)90599-d

Cited by 38 publications

(16 citation statements)

References 12 publications

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“…direct, splash and ground strike). The direct type of lightning injury can result in "myocardial injury" (evidenced by a significant increase in CPKmb), depression of the ST-T tract, alterations in ventricular kinetics visible with echocardiography and also lengthening of the QT interval [20][21][22][23][24][25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Cardiac pathology in death from electrocution

et al. 2005

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To better characterize the morphologic changes in electrocution, morphologic changes in the hearts of 21 subjects, who died instantaneously of electrocution, were compared to the hearts of decedents with different types of death. Sixteen myocardial samples per heart were processed for histological examination, and sections were prepared with a variety of specific stains. The frequency, location and extent of myocellular segmentation (stretching and/or rupture) of intercalated discs and associated changes of myocardial bundles and single myocells [myofibre break-up (MFB)] were recorded, quantitatively analysed and statistically evaluated. The frequency of MFB was maximal in cases of electrocution (90%). The findings show that MFB is an ante-mortem change and may be a distinct finding in electrocution.

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Section: Discussionmentioning

confidence: 99%

Cardiac pathology in death from electrocution

et al. 2005

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“…Xenopoulos [30] describes the case of a 19-year-old male, hospitalized after an electrocution, who, after attempts at cardiopulmonary resuscitation, presented an ECG suggestive of massive anterior IMA with a notable increase in CPK, LDH and SGOT; a bidimensional echocardiography revealed a moderate dilatation of the LV with hypo-akinesia of the septum, anterior wall, and apex. The EF was 35%; there was absence of pericardial effusion.…”

Section: Morphologic Findingsmentioning

confidence: 99%

Electric shock: Cardiac effects relative to non fatal injuries and post-mortem findings in fatal cases

Fineschi

Donato

Mondillo

et al. 2006

International Journal of Cardiology

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“…[40][41][42][43][44] Looking closely at these cases, in several patients the ST segment changes followed defibrillation for malignant arrhythmias, which raises the prospect that these may also represent persistent repolarisation changes due to cellular injury, which may spontaneously resolve if left enough time. Furthermore, these changes are seen in previously healthy children struck by lightning, making the prospect of coronary lesions unlikely.…”

Section: 26mentioning

confidence: 99%

Cardiac Effects of Lightning Strikes

Christophides

Khan

Ahmad

et al. 2017

Arrhythmia &Amp; Electrophysiology Review

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Lightning strikes are a common and leading cause of morbidity and mortality. Multiple organ systems can be involved, though the effects of the electrical current on the cardiovascular system are one of the main modes leading to cardiorespiratory arrest in these patients.Cardiac effects of lightning strikes can be transient or persistent, and include benign or life-threatening arrhythmias, inappropriate therapies from cardiac implantable electronic devices, cardiac ischaemia, myocardial contusion, pericardial disease, aortic injury, as well as cardiomyopathy with associated ventricular failure. Prolonged resuscitation can lead to favourable outcomes especially in young and previously healthy victims.

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Myocardial injury in electrocution

Cited by 38 publications

References 12 publications

Cardiac pathology in death from electrocution

Cardiac pathology in death from electrocution

Electric shock: Cardiac effects relative to non fatal injuries and post-mortem findings in fatal cases

Cardiac Effects of Lightning Strikes

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