Cardiac manifestations following electrocution in children

Cardiology in the Young
Alon HaimEli Zalzstein

Abstract

Electrical injury can result in a variety of cardiac abnormalities. We evaluate the cardiac effects in patients injured by electric shock and treated in our medical centre. We reviewed retrospectively the findings in 52 children, aged from 7 months to 17 years, with a mean age of 10.1 +/- 5.1 years, all evaluated and treated for accidental electric shock from January, 1992, through July, 2004. Relevant data regarding clinical presentation, electrocardiogram recording and cardiac enzymes was compiled. We also evaluated the echocardiographic findings, clinical course, treatment, and outcome. Syncope had been the presenting symptom in 17 children (33%), asystole in 1 patient, and ventricular fibrillation or tachycardia in 2 patients. Characteristic changes of acute ischaemia of the anterior wall on the basis of changes in the ST segments were noted in 2 patients. Total creatine phosphokinase was measured in 33 children (63%), and was elevated in 20. Creatine phosphokinase-MB was measured in 11 patients, and was abnormal in six (54%). Troponin was measured in three children, and was significantly high in one (33%). Cardiopulmonary resuscitation and mechanical ventilation for a significant period was necessary in 5 patients, of whom...Continue Reading

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Citations

Jun 7, 2011·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Fenella Kirkham
Jun 30, 2010·The American Journal of Forensic Medicine and Pathology·Quan-Yong HuangShui-Ping Liu
Sep 15, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Semanur OzdelTülin Revide Sayli
Dec 21, 2011·The American Journal of Forensic Medicine and Pathology·Quan-Yong HuangShui-Ping Liu
Oct 29, 2021·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Steffen GrautoffPhilipp Gotthardt

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