Indian Journal of Critical Care Case Report

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VOLUME 1 , ISSUE 2 ( September-October, 2022 ) > List of Articles

CASE REPORT

Right Ventricle Myocardial Infarction due to Coronary Thrombosis in a Patient after Sustaining Electric Injury

Pankaj Suresh Ghormade, Kavyesh Sahu, Swapnil Prabhakar Akhade

Keywords : Coronary thrombosis autopsy, Electric injury, Myocardial infarction, Right ventricle

Citation Information : Ghormade PS, Sahu K, Akhade SP. Right Ventricle Myocardial Infarction due to Coronary Thrombosis in a Patient after Sustaining Electric Injury. 2022; 1 (2):31-34.

DOI: 10.5005/jp-journals-11006-0012

License: CC BY-NC 4.0

Published Online: 04-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Involvement of the heart is common in electric shock when the current follows a particular path. Electrical injuries affect the cardiovascular system in nearly 1/3rd of the patient, and myocardial infarction (MI) is a potential, although rare, consequence of electric shock. Deaths after an electric shock are immediate due to cardiac arrhythmias or brainstem dysfunction. However, anticipating cardiac events in the survivor patient is a challenging task. We have described a case of a 32-year-old female who sustained accidental electric shock due to contact with the live wire. The patient was revived on initial cardiopulmonary resuscitation (CPR). She survived for 30 hours after initiating treatment, and her electrocardiogram (ECG) revealed sinus tachycardia. She had an electric entry burn injury over the left thenar eminence and left thumb. Thrombotic occlusion or right coronary with transmural infarction of the anterolateral wall of the right ventricle was a prominent finding in the autopsy.


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