TY  - JOUR
PY  - 1987//
TI  - Myocardial injury after electrical burns: short and long term study
JO  - Scandinavian journal of plastic and reconstructive surgery and hand surgery
A1  - Guinard, J. P.
A1  - Chioléro, R.
A1  - Buchser, E.
A1  - Delaloye-Bischof, A.
A1  - Payot, M.
A1  - Grbic, A.
A1  - Krupp, S.
A1  - Freeman, James
SP  - 301
EP  - 302
VL  - 21
IS  - 3
N2  - 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>
LA  - en
SN  - 0284-4311
UR  - http://dx.doi.org/
ID  - ref1
ER  -