Electrocution induced cardiac dysrhythmia: an Izinyoka case
DOI:
https://doi.org/10.18203/2349-2902.isj20250575Keywords:
Africa, Burns, Cardiac, Dysrhythmia, Electrocution, ShockAbstract
Electrical injuries, although rare, can result in significant morbidity and mortality particularly from cardiac complications. We present a 35-years-old male who developed paroxysmal atrial fibrillation after an electrical shock, had minor burns and no prior cardiac issues. The dysrhythmia resolved during hospitalization and the patient was treated with anticoagulation and wound care before discharge.
In South Africa, electrical injuries are commonly seen in patients who attempt illegal connections (Izinyoka) often for socio-economic reasons. While atrial fibrillation is uncommon after electrocution, ECG remains essential for diagnosing dysrhythmias. There is a lack of consensus on the management of electrocution-induced dysrhythmias and further research is needed to develop tailored guidelines for regions with high socio-economic challenges.
Metrics
References
United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects 2024, Online Edition. 2024. Available at: https://ourworldindata.org/population-growth. Accessed on 21 August 2024.
Pilecky D, Vamos M, Bogyi P. Risk of cardiac arrhythmias after electrical accident: a single-center study of 480 patients. Clin Res Cardiol. 2019;108:901–8. DOI: https://doi.org/10.1007/s00392-019-01420-2
Odell M. Electric shocks and electrocution, clinical effects and pathology. In: Payne-James J, Byard RW, editors. Encyclopedia of Forensic and Legal Medicine. 2nd ed. Oxford: Elsevier. 2016: 419–27. DOI: https://doi.org/10.1016/B978-0-12-800034-2.00166-X
Akkaş M, Hocagil H, Ay D, Erbil B, Kunt MM, Ozmen MM. Cardiac monitoring in patients with electrocution injury. Turkish J Trauma Emerg Surg. 2012;18(4):301–5. DOI: https://doi.org/10.5505/tjtes.2012.69158
Yıldırım BO. A sudden complication: Electrocution-induced atrial fibrillation. Mid Black Sea J Health Sci. 2024;10(1):131–6. DOI: https://doi.org/10.19127/mbsjohs.1341920
Ahmed J, Stenkula C, Omar S, Ghanima J, Bremtun FF, Bergan J, et al. Patient outcomes after electrical injury: a retrospective study. Scand J Trauma Resusc Emerg Med. 2021;29(1):114. DOI: https://doi.org/10.1186/s13049-021-00920-3
Mawuena G. Economic conditions that lead to illegal electricity connections at Quarry Road Informal Settlement in South Africa. International J Special Edu. 2002;37(3):67-9.
Kroll MW, Luceri RM, Efimov IR, Calkins H. The electrophysiology of electrocution. Heart Rhythm. 2023;4(7):457–62. DOI: https://doi.org/10.1016/j.hroo.2023.06.004
Blumenthal R. A retrospective descriptive study of electrocution deaths in Gauteng, South Africa: 2001–2004. Burns. 2009;35(6):888-94. DOI: https://doi.org/10.1016/j.burns.2009.01.009
Mmakwena M. An evaluation of the impact of cable theft on free flow of traffic in South Africa. Int J Res Bus & Social Sci. 2022;11(6):542-51. DOI: https://doi.org/10.20525/ijrbs.v11i6.1968