Electrocution can cause acute myocardial infarction with transmural ECG changes despite normal coronary arteries and preserved left ventricular function.
May prompt consideration of electrical injury in atypical Q-wave presentations; leaves open mechanisms and need for prospective data.
A case of acute anterior myocardial infarction in a 16-year-old boy who suffered electrocution is described. In spite of extensive electrocardiographic changes of transmural (Q-wave) infarction, left ventricular function was preserved well. Coronary angiography subsequently revealed normal coronary arteries.
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Walton et al. (1988) studied this question.
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