Myocardial necrosis by electrocution: evaluation of noninvasive methods.
We present the case of a young man who suffered severe anteroapical myocardial necrosis caused by electrocution. In addition to the enzymatic and electrocardiographic changes suggesting necrosis, a clear positive segmental image on 99mTc-pyrophosphate scintigraphy and a defect on a 201Tl SPECT scan at rest were also found. Although these tests were indicative of extensive anteroapical transmural myocardial necrosis, the echocardiographic study only revealed mild anteroapical hypokinesia.
Romero
B
B
Cardiology Division, Hospital General University Vall d'Hebron, Barcelona, Spain.
Candell-Riera
J
J
Gracia
R M
RM
Fernández
M A
MA
Aguadé
S
S
Peracaula
R
R
Soler-Soler
J
J
D000328:Adult; D004556:Electric Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology; D004562:Electrocardiography; D006323:Heart Arrest / Q000209:etiology; D006335:Heart Injuries / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D009206:Myocardium / Q000473:pathology; D009336:Necrosis; D016698:Technetium Tc 99m Pyrophosphate; D013794:Thallium Radioisotopes; D015899:Tomography, Emission-Computed, Single-Photon
D013794:Thallium Radioisotopes; D016698:Technetium Tc 99m Pyrophosphate