TY - JOUR PY - 1997// TI - Residual myocardial damage following electrical injuries JO - Journal of burn care and rehabilitation A1 - Matsumura, H. A1 - Kobayashi, Y. A1 - Mann, Robert E. A1 - Sugamata, A. A1 - Watanabe, K. A1 - Harunari, N. A1 - Yoshizawa, N. A1 - Kamada, T. A1 - Engrav, Loren H. A1 - Heimbach, David M. SP - 299 EP - 305 VL - 18 IS - 4 N2 - It is unknown to what degree electrical injury causes cardiac muscle damage. We used standard clinical methods and varying combinations of 201Tl scintigraphy (TI), 123I-metaiodobenzylguanidine scintigraphy, echocardiography, 99mTc-RBC angiography, and coronary catheterization to evaluate five patients with high-tension electrical injuries for cardiac damage. The first follow-up examination was performed within 2 months of injury, and the second follow-up was performed more than 6 months after the first follow-up. Electrocardiographic abnormalities were observed in two patients in the acute stage, but no abnormality was detected in the follow-up period. Myocardial perfusion abnormalities were found in all cases with Tl. The degree of injury indicated by Tl was more severe than that indicated by 123I-metaiodobenzylguanidine scintigraphy. Moreover, Tl showed progression of injury in all cases. These preliminary findings must now be confirmed and verified in a larger group of patients.
Language: en
LA - en SN - 0273-8481 UR - http://dx.doi.org/ ID - ref1 ER -