ALPER AKIN, Meki BİLİCİ, Fikri DEMİR, AYFER GÖZÜ PİRİNÇÇİOĞLU, Ahmet YILDIRIM

ST-segment elevation following lightning strike: case report and review of the literature

Akın A, Bilici M, Demir F, Gözü-Pirinççioğlu A, Yıldırım A. STsegment elevation following lightning strike: case report and review of the literature. Turk J Pediatr 2015; 57: 186-188.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-yearold 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.

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