Myocardial injury after electrical burns: short and long term study

Détails

ID Serval
serval:BIB_F9A62BC5BBD6
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Myocardial injury after electrical burns: short and long term study
Périodique
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Auteur(s)
Guinard  J. P., Chiolero  R., Buchser  E., Delaloye-Bischof  A., Payot  M., Grbic  A., Krupp  S., Freeman  J.
ISSN
0284-4311 (Print)
Statut éditorial
Publié
Date de publication
1987
Volume
21
Numéro
3
Pages
301-2
Notes
Journal Article
Résumé
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.
Mots-clé
Adult Arrhythmia/*etiology Burns, Electric/*complications Creatine Kinase/blood Echocardiography Electric Injuries/complications Electrocardiography Follow-Up Studies Heart/radionuclide imaging Humans Isoenzymes Male Myocardial Infarction/*etiology Time Factors
Pubmed
Web of science
Création de la notice
24/01/2008 17:53
Dernière modification de la notice
03/03/2018 22:54
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