Why the study?
Atrial fibrillation following electrical injury has been rarely described, particularly in the absence of high voltage electrical exposure or pre-existing cardiac disease.
Case Report (n=1)
This case highlights that atrial fibrillation can occur following low voltage electrical injury even in patients without pre-existing cardiac disease, and can be successfully managed with chemical cardioversion.
May cause AF after low-voltage injury; hypothesis-generating and should not yet change practice.
Electrical injuries can have myriad presentations, including significant cardiac involvement. Arrhythmias are the most frequently experienced cardiac affliction, of which sinus tachycardia or bradycardia, ventricular fibrillation, atrial or ventricular premature beats and bundle branch block are most commonly reported. A 50-year-old man, with no prior history of cardiac disease, presented with palpitations following low voltage electrical injury. On examination, he was tachycardic with an irregularly irregular pulse. An ECG confirmed atrial fibrillation with rapid ventricular rate. Chemical cardioversion was attempted successfully, following which the patient reverted to sinus rhythm. Atrial fibrillation following electrical injury has been rarely described in the literature, and is rarer so without associated high voltage electrical exposure or pre-existing cardiac ailment.
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Ghosh et al. (2021) conducted a case report in Atrial fibrillation (n=1). Low voltage electrical injury (220 V) was evaluated on Development of atrial fibrillation.
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