Electrocution-induced atrial fibrillation: a novel cause of a familiar arrhythmia

BMJ Case Reports
Alex Langford, Mark Dayer

Abstract

A previously fit and well 40-year-old man presented to the emergency department with palpitations after suffering an 11 000 volt electrical shock from overhead power cables through a mobile crane which he was operating. His ECG demonstrated the presence of new atrial fibrillation at a rate of 80 beats per min. He was haemodynamically stable, and had otherwise only sustained a small exit burn to his left great toe. Routine blood tests including creatine kinase and troponin T were normal. A bolus of intravenous flecainide failed to restore sinus rhythm, but an amiodarone infusion was successful. An electrical shock is a rare cause of atrial fibrillation. There is no consensus over optimal medical management. Numerous treatment plans have been previously employed with varying degrees of success.

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Citations

Sep 28, 2013·BMC Research Notes·Mitrakrishnan Rayno NavinanAruna Kulatunga
Jul 26, 2015·Journal of Electrocardiology·Mehmet Baran KarataşOsman Bolca

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