Guzzini F, Baroffio R, Cazzaniga L, Ciaramella C, Maestroni A, Tisi G
Servizio di Accettazione e Pronto Soccorso, USSL n.9 Ospedale di Saronno, Varese.
Minerva Cardioangiol. 1994 Nov;42(11):553-7.
We report on a case of non-fatal myocardial infarction (MI) after electrocution. The diagnosis was made on the basis of electrocardiographic and enzymatic changes and was supported by the results of two-dimensional echocardiogram and radio-nuclide scans, showing segmental hypoperfusion and wall motion abnormalities. The patient was followed for over 8 years, evaluating the evolution of cardiac damage with the above tests. MI associated with electrical injury is very likely overestimated, owing to the low specificity of classical diagnostic criteria, such as ECG changes and CK-MB elevation, and the short monitoring of survivors. We suggest that non-invasive functional methods, exploring myocardial perfusion and ventricular kinesis, and a longer follow-up can reliably assess the prevalence of this complication.
我们报告一例电击伤后非致命性心肌梗死（MI）的病例。诊断基于心电图和酶学变化，并得到二维超声心动图和放射性核素扫描结果的支持，显示节段性灌注不足和室壁运动异常。对该患者进行了8年多的随访，通过上述检查评估心脏损伤的演变。由于经典诊断标准（如心电图变化和肌酸激酶同工酶（CK-MB）升高）的特异性较低以及对幸存者的短期监测，与电损伤相关的心肌梗死很可能被高估。我们建议，探索心肌灌注和心室运动的非侵入性功能方法以及更长时间的随访可以可靠地评估这种并发症的发生率。
