Key result
Electric shock induces inferior MI despite normal coronaries, complicated by severe compartment syndrome.
Why the study?
Myocardial infarction after electric shock is a rare complication with controversial pathogenesis requiring careful assessment due to increased death risk.
Case Report (n=1)
Highlights a rare case of myocardial infarction following electric shock despite normal coronary arteries.
Electric shock may cause MI with normal coronaries and limb complications; single case leaves open incidence and management implications.
Myocardial infarction is one potential outcome after an electric shock although it is seen relatively rarely and its pathogenesis remains controversial.Coronary arteriography is the most helpful investigation in assessing the physiopathology of the rare event.These patients merit a careful scrutiny due to an increased death rate because of cardiopulmonary arrest.Here, we reported a man with inferior myocardial infarction following electrical shock.Although he had frankly normal coronary arteries by coronary angiography, myocardial infarction was objectively evident by cardiac enzymes, electrocardiography and echocardiography.Amputation was performed on his left wrist from the elbow and fasciotomy was performed on his right wrist due to compartment syndrome.Electrocardiography changes returned to normal level within 6th hours of electric shock.He was discharged in good health after stabilization.
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Al et al. (2012) conducted a case report in Myocardial infarction following electric shock (n=1). Electric shock was evaluated on Myocardial infarction. Electric shock resulted in an inferior myocardial infarction with normal coronary arteries, requiring amputation and fasciotomy due to compartment syndrome.
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