ST-segment elevation following lightning strike: case report and review of the literature
Lightning strikes may cause injury to the heart, ranging from slight electrocardiographic changes to fatal damage. As heart injury is the most important cause of mortality in these patients, cardiac monitoring is crucial. Even though various ECG changes have been reported, published data on patholog...
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Veröffentlicht in: | Turkish journal of pediatrics 2015-03, Vol.57 (2), p.186-188 |
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creator | Akın, Alper Bilici, Meki Demir, Fikri Gözü Pirinççioğlu, Ayfer Yıldırım, Ahmet |
description | Lightning strikes may cause injury to the heart, ranging from slight electrocardiographic changes to fatal damage. As heart injury is the most important cause of mortality in these patients, cardiac monitoring is crucial. Even though various ECG changes have been reported, published data on pathologic ST-segment changes is scarce. Herein, we present a seven-year old patient with ST-segment elevation following a lightning strike. There is not sufficient data regarding lightning-related myocardial ischemia. However, because of the similar effects of lightning strikes and high-voltage electric shocks, we believe myocardial injury related to lightning may be managed in the same manner as is cardiac involvement associated with electric shock. |
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As heart injury is the most important cause of mortality in these patients, cardiac monitoring is crucial. Even though various ECG changes have been reported, published data on pathologic ST-segment changes is scarce. Herein, we present a seven-year old patient with ST-segment elevation following a lightning strike. There is not sufficient data regarding lightning-related myocardial ischemia. However, because of the similar effects of lightning strikes and high-voltage electric shocks, we believe myocardial injury related to lightning may be managed in the same manner as is cardiac involvement associated with electric shock.</description><identifier>ISSN: 0041-4301</identifier><identifier>PMID: 26690603</identifier><language>eng</language><publisher>Turkey: Hacettepe University Faculty of Medicine</publisher><subject>Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - etiology ; Arrhythmias, Cardiac - therapy ; Child ; Electrocardiography ; Female ; Heart Injuries - diagnosis ; Heart Injuries - etiology ; Heart Injuries - therapy ; Humans ; Lightning Injuries - complications</subject><ispartof>Turkish journal of pediatrics, 2015-03, Vol.57 (2), p.186-188</ispartof><rights>Copyright Hacettepe University Faculty of Medicine Mar/Apr 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26690603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akın, Alper</creatorcontrib><creatorcontrib>Bilici, Meki</creatorcontrib><creatorcontrib>Demir, Fikri</creatorcontrib><creatorcontrib>Gözü Pirinççioğlu, Ayfer</creatorcontrib><creatorcontrib>Yıldırım, Ahmet</creatorcontrib><title>ST-segment elevation following lightning strike: case report and review of the literature</title><title>Turkish journal of pediatrics</title><addtitle>Turk J Pediatr</addtitle><description>Lightning strikes may cause injury to the heart, ranging from slight electrocardiographic changes to fatal damage. 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subjects | Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - etiology Arrhythmias, Cardiac - therapy Child Electrocardiography Female Heart Injuries - diagnosis Heart Injuries - etiology Heart Injuries - therapy Humans Lightning Injuries - complications |
title | ST-segment elevation following lightning strike: case report and review of the literature |
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