Right Ventricle Myocardial Infarction due to Coronary Thrombosis in a Patient after Sustaining Electric Injury

Abstract

A previously healthy, 32-year-old woman accidentally came in contact with a live wire and got an electric shock (alternative current: 220 V, 50 Hz) at home while she was putting washed clothes for drying on the balcony on a metal wire. The victim was unaware that the loose end of the metal wire was in touch with the body of a running air cooler. The cooler had a faulty electric supply that led to the flow of electric current in its metal body. Hence, the victim accidentally sustained an electric shock and then fell down on the cemented floor and got unconscious. She was immediately hospitalized. The patient was revived after CPR. The patient was intubated and kept on ventilatory support. Vital parameters at the time of examination were Glasgow coma scale 03/15, pulse 148/min, blood pressure 180/100 mm Hg after continuous noradrenaline and adrenaline support, saturation of peripheral oxygen (SpO 2 ) 92% on the Bain circuit, and random blood sugar 268 mg/dL. In addition to the inotropic support, the patient was also given antibiotics and sodium bicarbonate to treat acidosis.The ECG showed sinus tachycardia. Electroencephalogram was performed on the patient, and it showed low amplitude HigHligHtsElectricity can cause vascular injury by damaging arterial walls. Coronary thrombosis can occur after electric shock. However, MI in the right ventricle due to right coronary thrombosis is a rare finding. Hence, during cardiac monitoring of patients having electric shock, physicians must always remember the possibility of such cardiac events.