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.
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.
Amino
Mari
M
Department of Cardiology, Tokai University School of Medicine, Isehara, Japan. mariam@is.icc.u-tokai.ac.jp
Yoshioka
Koichiro
K
Morita
Seiji
S
Yamagiwa
Takeshi
T
Otsuka
Hiroyuki
H
Akieda
Kazuki
K
Iizuka
Shinichi
S
Kanda
Shigetaka
S
Ikari
Yuji
Y
Nasu
Seiji
S
Hatakeyama
Kenji
K
Kodama
Itsuo
I
Inokuchi
Sadaki
S
Tanabe
Teruhisa
T
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
D003402:Creatine Kinase