@article{ref1,
title="Myocardial injury after electrical burns: short and long term study",
journal="Scandinavian journal of plastic and reconstructive surgery and hand surgery",
year="1987",
author="Guinard, J. P. and Chioléro, R. and Buchser, E. and Delaloye-Bischof, A. and Payot, M. and Grbic, A. and Krupp, S. and Freeman, James",
volume="21",
number="3",
pages="301-302",
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 echocardiogram, may be justified.<p /><p>Language: en</p>",
language="en",
issn="0284-4311",
doi="",
url="http://dx.doi.org/"
}