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Waldmann V, Narayanan K, Combes N, Jost D, Jouven X, Marijon E. Electrical cardiac injuries: current concepts and management. Eur Heart J 2019; 39:1459-1465. [PMID: 28444167 DOI: 10.1093/eurheartj/ehx142] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Accepted: 04/11/2017] [Indexed: 11/13/2022] Open
Abstract
Electrical injuries are a commonly encountered hazard in both the home and workplace. However, clinicians are often uncomfortable when faced with the patient who presents with an electric shock due to sparse literature and lack of systematic recommendations on this topic. Electrical injuries can range from minor skin burns to life threatening internal organ damage. A thorough clinical assessment to ascertain the path of current through the body and possible internal injury is essential. The main concern in an apparently stable individual after an electric shock is the potential for delayed occurrence of cardiac arrhythmias which will require monitoring in the intensive care setting. While it may be reasonable to discharge home from the emergency room selected patients with low voltage injuries, absence of syncope and a normal ECG, others may require monitoring for at least 24 h. Public education and increasing workplace as well as home safety measures are key steps in prevention. The present review summarizes current knowledge in pathophysiology, manifestations and management of electrical injuries, with specific focus on cardiac effects.
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Affiliation(s)
- Victor Waldmann
- Cardiology Department, European Georges Pompidou Hospital, 20 rue Leblanc, 75015 Paris, France.,Paris Cardiovascular Research Center (Inserm Unit 970), European Georges Pompidou Hospital, 56 rue Leblanc, 75015 Paris, France.,Paris Descartes University, 12 rue de l'école de médecine, 75006 Paris, France
| | - Kumar Narayanan
- Paris Cardiovascular Research Center (Inserm Unit 970), European Georges Pompidou Hospital, 56 rue Leblanc, 75015 Paris, France.,Cardiology Department, Maxcure Hospitals, Telangana, Hyderabad 500081, India
| | - Nicolas Combes
- Cardiology Department, Clinique Pasteur, 45 avenue de Lombez, 31300 Toulouse, France
| | - Daniel Jost
- Brigade de Sapeurs Pompiers de Paris, 1 Place Jules Renard, 75017 Paris, France
| | - Xavier Jouven
- Cardiology Department, European Georges Pompidou Hospital, 20 rue Leblanc, 75015 Paris, France.,Paris Cardiovascular Research Center (Inserm Unit 970), European Georges Pompidou Hospital, 56 rue Leblanc, 75015 Paris, France.,Paris Descartes University, 12 rue de l'école de médecine, 75006 Paris, France
| | - Eloi Marijon
- Cardiology Department, European Georges Pompidou Hospital, 20 rue Leblanc, 75015 Paris, France.,Paris Cardiovascular Research Center (Inserm Unit 970), European Georges Pompidou Hospital, 56 rue Leblanc, 75015 Paris, France.,Paris Descartes University, 12 rue de l'école de médecine, 75006 Paris, France
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When inappropriate becomes beneficial. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2015. [DOI: 10.1016/j.repce.2015.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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When inappropriate becomes beneficial. Rev Port Cardiol 2015; 34:211.e1-3. [DOI: 10.1016/j.repc.2014.08.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Accepted: 08/16/2014] [Indexed: 11/22/2022] Open
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