Inferior Wall Myocardial Infarction After An Electric Shock: A Rare Presentation

Dr. Ashwin Arvind Rajbhoj, Thopte A, Giri D, Tyagi A

Dr. Ashwin Arvind Rajbhoj, Thopte A, Giri D, Tyagi A

Keywords: Electric Shock, Electrocardiography, Echocardiography, Coronary Angiography, Myocardial Infraction

Abstract

Electrical shock affects the cardiovascular system in nearly one third of patients. The pathway of the electrical current through the body determines the effects on the cardiovascular system. We discuss a rare case of a 40 year old male admitted with ECG changes suggestive of inferior wall myocardial infarction following accidental contact with a high voltage electricity power line. CPK-MB and Troponin was positive. Echocardiography demonstrated mild inferior wall hypokinesia. The optimal management of myocardial injury after electrical shock may be debated, because there is no consensus as to the best management of ST segment elevation myocardial infarction after electrical shock as myocardial injury might occur due to a nonocclusive mechanism, as in the present case revealed by normal coronary angiography. So there may be no need for either medical or mechanical reperfusion.

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