Case Report

Is there a role for wearable cardioverter defibrillators after myocardial infarction?

Yasser Mohammed Hassanain Elsayed
Critical Care Unit, Fraskour Central Hospital, Damietta Health Affairs, Egyptian Ministry of Health (MOH), Damietta, Egypt

Worldwide Medicine 2019; 1(7): 217-221 | DOI: 10.5455/ww.56226      PDF


Abstract


Rationale, Electrical injuries are a likely destructive variety of multisystemic damage with high morbidity and death- rate. Cardiac injury is expected. The current strength, flow resistance, voltage, the contact duration with the source, the flow pathway, and the current type considered the main determinants for the type and extent of an electrical injury. It will be recognized the pathophysiological effects. Patient concerns: A 35-year-old single female patient presented to the emergency room with hyperventilation syndrome and tetany that had happened after exposure to low-voltage electrical injury. Diagnosis: Electrical injury-induced tetany and coronary vasospasm. Interventions: Electrocardiogram, electrolytes assessment, and arterial blood gas evaluation. Outcomes: Dramatic of recovery of manifested tetany and reversal of electrocardiographic coronary artery spasm. Lessons: Electrical injuries may be complicated with tetany and coronary artery vasospasm. Calcium channel blockers are drugs of choice in coronary artery vasospasm. But, the current case was managed with calcium. So, why calcium replaced calcium channel blockers in this case?

Keywords: Electrical injury, Coronary artery spasm reversed with calcium, calcium, Induced tetany, Hypocalcemia