Herlevsen P, Andersen P T
Br Heart J. 1987 Mar;57(3):284-5. doi: 10.1136/hrt.57.3.284.
An hour after a 220 V electric shock a patient who was susceptible to mild vasovagal symptoms in response to emotional stress had a severe episode of cardiac arrest in response to insertion of a cannula. No myocardial damage or conduction abnormalities were detected by serial 12 lead electrocardiograms. Patients with a history of vasovagal reactions may be at high risk of developing lethal sinus node or conduction disturbances after electrical injuries. Psychological stresses should be avoided in the management of such patients.
一名对情绪应激易出现轻度血管迷走神经症状的患者，在遭受220伏电击1小时后，因插入套管引发了严重的心搏骤停。连续12导联心电图未检测到心肌损伤或传导异常。有血管迷走神经反应病史的患者在电击伤后可能有发生致命性窦房结或传导障碍的高风险。对此类患者进行治疗时应避免心理应激。
