title: Two cases in which myocardial injury could be only evaluated by nuclear medicine studies on electric shock patients whose electrocardiogram and myocardial enzyme levels were normal.
abstract: Heart injury due to electric shock is currently diagnosed based on electrocardiogram (ECG) changes or elevated levels of myocardial enzymes or both. However, the rate at which ECG detects abnormalities is very low; thus, the estimated rate of the diagnosis of myocardial damage due to electric shock is lower than the actual rate. The method of nuclear medicine study of the heart is superior with regard to evaluating transient ischemia, such as angina pectoris, in patients whose ECG and myocardial enzyme levels are normal. Therefore, we attempted to diagnose transient myocardial damage in electric shock patients by using nuclear medicine study of the heart.
authors.affiliation: Department of Cardiology, Tokai University School of Medicine, Isehara, Japan. mariam@is.icc.u-tokai.ac.jp
authors.forename: Mari
authors.initials: M
authors.lastname: Amino
authors.forename: Koichiro
authors.initials: K
authors.lastname: Yoshioka
authors.forename: Seiji
authors.initials: S
authors.lastname: Morita
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yamagiwa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Otsuka
authors.forename: Kazuki
authors.initials: K
authors.lastname: Akieda
authors.forename: Shinichi
authors.initials: S
authors.lastname: Iizuka
authors.forename: Shigetaka
authors.initials: S
authors.lastname: Kanda
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikari
authors.forename: Seiji
authors.initials: S
authors.lastname: Nasu
authors.forename: Kenji
authors.initials: K
authors.lastname: Hatakeyama
authors.forename: Itsuo
authors.initials: I
authors.lastname: Kodama
authors.forename: Sadaki
authors.initials: S
authors.lastname: Inokuchi
authors.forename: Teruhisa
authors.initials: T
authors.lastname: Tanabe
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D003402:Creatine Kinase / Q000097:blood*; D004452:Echocardiography; D004556:Electric Injuries / Q000000981:diagnostic imaging* / Q000201:enzymology; D004562:Electrocardiography; D004734:Energy Metabolism / Q000502:physiology; D005500:Follow-Up Studies; D006321:Heart / Q000294:innervation; D006335:Heart Injuries / Q000000981:diagnostic imaging* / Q000201:enzymology; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging; D009206:Myocardium / Q000201:enzymology* / Q000378:metabolism; D011877:Radionuclide Imaging; D012016:Reference Values; D013564:Sympathetic Nervous System / Q000000981:diagnostic imaging
chemical_list: D003402:Creatine Kinase