PMID: 3441760Jan 1, 1987Paper

Myocardial injury after electrical burns: short and long term study

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
J P GuinardJ Freeman

Abstract

Miscellaneous cardiac abnormalities can occur after electrical burns. The long term outcomes are still unknown. We studied 10 patients, 9 of whom suffered high-voltage electrocution, and one of whom was struck by lightning. Serial electrocardiograms (ECG) and serum MB creatine phosphokinase isoenzyme (MB-CPK) activities were obtained during their stay in hospital. ECG and thallium 201 cardiac scintigraphy at rest, as well as echocardiograms were obtained in all patients 4 to 48 months after discharge. In hospital, 9 patients showed one or more abnormal findings at physical examination (4 cases), ECG (8 cases), MB-CPK (1 case). At long term follow-up, 5 patients had one or more myocardial functions or conduction abnormalities, with or without symptoms. One patient had compensated heart failure. Nine patients were asymptomatic. Abnormal ECG findings persisted in 3 patients. Three cardiac scans showed evidence of regional myocardial hypoperfusion. Decreases in left ventricular indices measured by echocardiogram were found in 3 patients. We conclude that high-voltage electrocution is associated with a high incidence of cardiac abnormalities, which may persist. Long term evaluation, requiring cardiac T1 201 scintigraphy and echocard...Continue Reading

References

Feb 1, 1985·The Journal of Trauma·T A HousingerG D Warden
Jan 1, 1984·Scandinavian Journal of Plastic and Reconstructive Surgery·G Arturson, A Hedlund
Jun 1, 1984·Burns, Including Thermal Injury·A A Nanji, J D Filipenko
Feb 1, 1983·British Heart Journal·R F LewinS Sclarovsky
May 1, 1983·Critical Care Medicine·G F Dixon
Nov 1, 1982·Annals of Emergency Medicine·T J Kinney

Citations

Aug 4, 2005·International Journal of Legal Medicine·Vittorio FineschiEmanuela Turillazzi
May 6, 1998·Burns : Journal of the International Society for Burn Injuries·J ArrowsmithW A Dickson
Apr 25, 2007·Emergency Medicine Journal : EMJ·Benoit BaileyR L Thivierge
Sep 28, 2013·BMC Research Notes·Mitrakrishnan Rayno NavinanAruna Kulatunga
Feb 9, 2016·Journal of Forensic and Legal Medicine·Çağlar Özdemirİbrahim İkizceli
Jun 22, 2012·Burns : Journal of the International Society for Burn Injuries·James J Jaber, Dev B Vibhakar
Jan 26, 2016·International Journal of Critical Illness and Injury Science·S Satish KumarAmit Agrawal
Nov 1, 2005·International Journal of Cardiology·Vittorio FineschiEmanuela Turillazzi
Apr 27, 2017·European Heart Journal·Victor WaldmannEloi Marijon
Jul 5, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Brett ArnoldoNicole S Gibran

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