Jensen P J, Thomsen P E, Bagger J P, Nørgaard A, Baandrup U
Br Heart J. 1987 Mar;57(3):279-83. doi: 10.1136/hrt.57.3.279.
Dangerous or long lasting ventricular arrhythmias developed in three patients who had sustained an electrical injury in which current passed through the thorax. In all three cases there was a delay of 8-12 hours between the injury and the onset of symptoms. The ventricular arrhythmias were severe and long lasting. In two of the three patients, ventricular tachycardia or ventricular fibrillation or both occurred and in one patient ventricular parasystole developed. No enzymatic evidence of myocardial necrosis was found but the results of an endomyocardial biopsy carried out in two of the three patients showed focal myocardial fibrosis and increased numbers of Na, K-pumps. The two patients with ventricular tachycardia became symptom free after appropriate antiarrhythmic treatment and in the third patient ventricular parasystole disappeared spontaneously within two years. Patients sustaining electrical injury in which current passes through the thorax should be monitored electrocardiographically for at least 24 hours, and patients with unexpected arrhythmias should be questioned about previous electrical injury.
三名胸部遭受电击伤的患者出现了危险或持续时间较长的室性心律失常。在所有这三例病例中，受伤与症状出现之间均有8至12小时的延迟。室性心律失常严重且持续时间长。三名患者中有两名发生了室性心动过速或心室颤动，或两者皆有，另一名患者出现了室性并行心律。未发现心肌坏死的酶学证据，但在三名患者中的两名进行的心内膜心肌活检结果显示有局灶性心肌纤维化以及钠钾泵数量增加。两名室性心动过速患者经适当的抗心律失常治疗后症状消失，第三名患者的室性并行心律在两年内自行消失。胸部遭受电击伤的患者应进行至少24小时的心电图监测，对于出现意外心律失常的患者，应询问其既往电击伤史。
