ST-segment elevation in anterior leads secondary to electric shock – a diagnostic dilemma

• Authors: Anil Kumar Muniraju , Amit Kumar Rohila , Ankur Sharma , Rakesh Guna Shekar , Mahaveer Singh Rodha

Abstracts

EN

Introduction and aim. Electrical injuries can be life-threatening and prompt interventions can save lives. Cardiac complications like arrhythmias and sudden cardiac death are common after electric shock. Certain ECG abnormalities can persist after successfully reviving the patient which can mimic ST-Elevation occlusive myocardial infarction. This case report aims to inform the treating emergency physicians about this rare association of ST-Elevation in anterior leads after electric shock. Description of the case. After obtaining proper consent from the patient, we describe here an interesting case of a 19-year-old boy who was presented to the emergency room with cardiac arrest after sustaining electrical injury. The patient was revived after cardiopulmonary resuscitation; ECG, as well as echocardiographic findings, were consistent with ST-elevation myocardial infarction of the anterior wall. A diagnostic dilemma was there between occlusive and non-occlusive causes of this condition. A coronary angiogram and conservative management of the patient helped in decision making and he was discharged with a Glasgow coma scale of 15/15 after recovery. Conclusion. ST-Elevations in ECG can occur after electric shock injury and their cause is rarely due to occlusion of the coronaries. Hence thrombolysis in such cases is rarely needed and supportive management is required.

Keywords

EN

cardiac arrest; electrical injury; non-occlusive MI

• Publisher: Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2024
• Issue: 3
• Pages: 698-701

Dates

published

2024

Contributors

author

Anil Kumar Muniraju

• Department of Trauma and Emergency, All India Institute of Medical Sciences, Jodhpur, India

author

Amit Kumar Rohila

• Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, India

• https://orcid.org/0000000269853453

author

Ankur Sharma

• Department of Trauma and Emergency, All India Institute of Medical Sciences, Jodhpur, India

• https://orcid.org/0000000193396988

author

Rakesh Guna Shekar

• Department of Trauma and Emergency, All India Institute of Medical Sciences, Jodhpur, India

author

Mahaveer Singh Rodha

• Department of Trauma and Emergency, All India Institute of Medical Sciences, Jodhpur, India

Identifiers

DOI

10.15584/ejcem.2024.3.28

Biblioteka Nauki

62381729