title: ST-segment elevation following lightning strike: case report and review of the literature.
abstract: 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.
authors.affiliation: Division of Pediatric Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. alperakin1@hotmail.com.
authors.forename: Alper
authors.initials: A
authors.lastname: Akın
authors.forename: Meki
authors.initials: M
authors.lastname: Bilici
authors.forename: Fikri
authors.initials: F
authors.lastname: Demir
authors.forename: Ayfer
authors.initials: A
authors.lastname: Gözü Pirinççioğlu
authors.forename: Ahmet
authors.initials: A
authors.lastname: Yıldırım
mesh_terms: D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002648:Child; D004562:Electrocardiography; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D015168:Lightning Injuries / Q000150:complications*