Inferior Wall Myocardial Infarction After An Electric Shock: A Rare Presentation
Journal Title: The Indian Practitioner - Year 2015, Vol 68, Issue 5
Abstract
Electrical shock affects the cardiovascular system in nearly one third of patients. The pathway of the electrical current through the body determines the effects on the cardiovascular system. We discuss a rare case of a 40 year old male admitted with ECG changes suggestive of inferior wall myocardial infarction following accidental contact with a high voltage electricity power line. CPK-MB and Troponin was positive. Echocardiography demonstrated mild inferior wall hypokinesia. The optimal management of myocardial injury after electrical shock may be debated, because there is no consensus as to the best management of ST segment elevation myocardial infarction after electrical shock as myocardial injury might occur due to a nonocclusive mechanism, as in the present case revealed by normal coronary angiography. So there may be no need for either medical or mechanical reperfusion.
Authors and Affiliations
Dr. Ashwin Arvind Rajbhoj, A Thopte, D Giri
Keywords
Related Articles
- EP ID EP580916
- DOI -
- Views 50
- Downloads 0
Muehrcke’s lines
Muehrcke’s lines are paired, white, transverse lines that signify abnormality in vascular of the nail. Muehrcke first described paired, narrow, white, transverse fingernail lines in a series patients with severe, chronic...
Diagnosis of Malaria in Pregnancy: Field situation and use of rapid tests
Introduction: Malaria is endemic in India and constitutes a major public health challenge. Submicroscopic infection during pregnancy might be associated with increased risk of adverse pregnancy outcomes including low bir...
Newer and Future Insulins
The management of Diabetes was revolutionised by discovery of insulin. However the insulin delivery as well action profile of initial insulins were far from physiological. The initial insulins were replaced by recombinan...
Breathing Pattern in Healthy Preterm Babies
This observational study was conducted on 200 healthy preterm babies delivered in the department of Obstetrics and handled by the Neonatology section of Pediatrics department with the aim to study the breathing pattern i...
Rare case of Ebstein Anomaly presented as Supraventricular Tachycardia with Aberrancy in a 40 year old Adult Patient
Ebstein’s anomaly is a congenital heart defect. The septal and posterior leaflets of the tricuspid valve are displaced toward the apex of the right ventricle called as atrialization of right ventricle. Most of them have...