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Myocardial Necrosis by Electrocution: Evaluation of Noninvasive Methods

Cardiology Division, Intensive Care Unit and Nuclear Medicine Division, Hospital General University Vall d'Hebron, Barcelona, Spain

Correspondence: For correspondence or reprints contact: Jaume Candell-Riera, MD, Cardiology Division, Hospital General Universitari Vall d'Hebron, Paseo Vall d'Hebron, N1 119-129, Barcelona 08035, Spain.

ABSTRACT

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 ²⁰¹TI 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.

Key Words: acute myocardial infarction • electrocution • technetium-99m-pyrophosphate • thallium-201 • echocardiography

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