THE QT INTERVAL IN LIGHTNING INJURY WITH IMPLICATIONS FOR THE CESSATION OF METABOLISM HYPOTHESIS

被引：7
作者：
ANDREWS, CJ
COLQUHOUN, DM
DARVENIZA, M
机构：
[1] Department of Electrical Engineering, University of Queensland
[2] The Wesley Hospital, Brisbane
[3] Repatriation General Hospital, Brisbane, Greenslopes
来源：
JOURNAL OF WILDERNESS MEDICINE | 1993年 / 4卷 / 02期
关键词：
QT INTERVAL; LIGHTNING INJURY; CESSATION OF METABOLISM;
D O I：
10.1580/0953-9859-4.2.155
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
An hypothesis is presented to provide an alternative explanation to the 'cessation of metabolism' hypothesis often invoked in lightning injury. 'Cessation of metabolism' has been proposed to explain the observation of good recovery after a prolonged period of cardiac arrest in some lightning injured patients. Re-examination of the cases used to support 'cessation of metabolism', however, reveals little evidence to justify the hypothesis. Re-evaluation of ECGs from lightning injured patients demonstrates a high incidence of QT prolongation. It is hypothesized that QT prolongation could promote a state of episodic induction of and recovery from Torsades de pointes ventricular tachycardia (VT). As lightning injury is not classically regarded as a cause of QT prolongation, the cardiological literature should include it in future tabulations of causes.
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收藏
页码：155 / 166
页数：12
相关论文
共 55 条
[41]  
Sinha A.K., Lightning induced myocardial injury – a case report with management, Angiol, 36, pp. 327-331, (1985)
[42]  
Zeana C.D., Acute transient myocardial ischaemia after lightning injury, Int J Cardiol, 5, pp. 207-209, (1984)
[43]  
Schmidt W., Gruetzner A., Schoen H.R., Beobachtungen bei Blitzschlagverletzungen unter Beruecksichtigung von EKG and EEG, Deutsches Arch Klin Med, 204, pp. 307-324, (1957)
[44]  
Jackson S.H.D., Parry D.J., Lightning and the heart, Br Heart J, 43, pp. 454-457, (1980)
[45]  
Read J.M., Man struck by lightning reveals marked ECG changes hours later, Med Trib, 28, (1966)
[46]  
Kroob M.J., Cram A.E., Lightning injuries: a multisystem trauma, J Iowa Med Soc, 73, pp. 221-225, (1983)
[47]  
Craig S.R., When lightning strikes. Pathophysiology and treatment of lightning injuries, Post-grad Med J, 79, pp. 109-112, (1986)
[48]  
du Pasquier G., Freeman J., Le foudroiement, Annales Françaises d'Anesthésie et de Réanimation, 5, pp. 601-604, (1986)
[49]  
Funiak S., Hendrich F., Drimal J., Markuljak I., Funiakova S., Srdcovy infarkt pri poraneni bleskom, Vnitrni lekarstvi, 30, pp. 1118-1121, (1984)
[50]  
Terranova S., Su un caso di infarto miocardico da elettrocuzione atmosferica, Rif Med, 71, pp. 93-96, (1957)
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