Acute Inferior Myocardial Infarction Caused by Lightning Strike

Aydın, Fatih; Yıldırım, Özge Turgay; Dağtekin, Evrin; Aydın, Ayşe; Akşıt, Ercan

doi:10.1017/s1049023x18000705

Cited by 15 publications

(10 citation statements)

References 8 publications

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“…Inferior wall was the most common side affected among the surveyed population ( 88 from occlusion of the coronary artery that results in decreased perfusion to the inferior myocardium. MI involving the inferior wall occurs in approximately 40% of all MIs and it is associated with a better prognosis than MIs in other regions, such as anterior MI (27)(28)(29). However, these findings were self-reported and may lack accuracy, which is a limitation of the study.…”

Section: Discussionmentioning

confidence: 93%

Identify Common Risk Factor and Clinical Presentation of Myocardial Infarction Among Male and Female Adults in Saudi Arabia

2019

JHMN

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Data on the epidemiology of myocardial infarction (MI) risk factors in Saudi Arabia are limited, particularly in relation to age at MI onset. Therefore, this study aimed at evaluating the prevalence of MI risk factors, as well as MI presentation in the central region of Saudi Arabia. A cross-sectional survey was conducted between -to -2019 in a sample of 103 patients with MI. A selfadministered and structured questionnaire assessing the participants' baseline characteristics and MI-related risk factors and symptoms was employed. The analysis included descriptive statistics and chi-square analysis. There were 55 (53.4%) male participants and 48 (46.6%) female participants. Their age ranged 16 to 86 years, with a mean age of 55.5±14.8 years. Seventy-one (68.9%) patients were above 45 years of age. The most common risk factors for MI were hypertension (58.2%), diabetes mellitus (59.2%), obesity (45.6%), physical inactivity (36.9%), smoking (36.9%), and hypercholesteremia (33.0%). Patients aged above 45 years of age were more likely to report an established diagnosis of diabetes mellitus, hypertension, and hypercholesteremia (all P <0.05). the most common reported MI region was inferior wall MI. MI risk is high among young Saudi adults. Diabetes mellitus, hypertension, and hypercholestermia were significantly more common in older patients with MI. addressing the modifiable risk factors for MI is vital to early prevention of MI.

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Section: Discussionmentioning

confidence: 93%

Identify Common Risk Factor and Clinical Presentation of Myocardial Infarction Among Male and Female Adults in Saudi Arabia

2019

JHMN

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“…A person struck by lightning may have injuries that are apparent, or they may be struck and killed without visible injury. The most common causes of death by lightning are dysrhythmias, such as ventricular tachycardia or ventricular fibrillation, 2,8,9 myocardial infarction, 10 –12 and respiratory arrest caused by central nervous system effects. 2 Barotrauma may cause pneumomediastinum, rupture of the tympanic membrane, and injuries to the gastrointestinal tract.…”

Section: Discussionmentioning

confidence: 99%

Lichtenberg Figures: How a Cutaneous Sign Can Solve Suspicious Death Cases

Manoubi

Gharbaoui

Allouche

2022

Wilderness & Environmental Medicine

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Lightning is a natural weather phenomenon that occurs most commonly during the summer months in the afternoon or early evening. Lightning strikes can cause accidental deaths. In developed countries, lightning fatalities occur almost exclusively outdoors. Deaths from lightning may be in remote places with no witnesses. Forensic pathologists may not be able to reach the scene of death because it is too hazardous or inaccessible. Bodies may have neither evidence of skin burns nor torn areas on their clothes. The presumption of accidental death may be difficult to prove. We present 3 cases in which neither the examination of the death scene nor the examination of the bodies by those who attested to the death were performed. The bodies were transported to the morgue for a forensic autopsy because the deaths were considered suspicious. Physicians who attest to death in open spaces during weather that could produce lightning should actively search for Lichtenberg figures, which are considered irrefutable proof of fatal lightning in such settings. They should also photograph them and submit them as evidence. Nevertheless, physicians should keep in mind that Lichtenberg figures are not considered pathognomonic of lightning because some skin manifestations may mimic them.

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“…As the lightning discharge passes through the body, it can damage various organs and systems. 6 Case fatality rates due to lightning vary between 10 and 30%, and survivors may develop serious complications such as peripheral neuropathy and defects in cognitive functions. 7…”

Section: Introductionmentioning

confidence: 99%

“…Sometimes, there are symptoms of burns on clothes and body and fernlike markings specific to lightning strikes on their bodies, acute kidney failure, cardiac arrhythmias and deaths. 1,6,8 The internal organs may show oedema, congestion, etc, but such findings on their own are not diagnostic of death from a lightning strike. It is essential for accurate diagnosis to examine the person’s clothes, external body and conduct a crime scene investigation as well.…”

Section: Introductionmentioning

confidence: 99%

Filigree burns of a lightning strike: A case series

2021

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Lightning is the discharge of an electric charge forming in the atmosphere between the earth and clouds which travels downward in a branching pattern. It is estimated that there are some 1800 active thunderstorms at any given moment. Lightning may injure or kill a person by a direct strike, a side-flash or conduction through another object. Agricultural workers are at risk in developing and underdeveloped countries, as are those engaging in sporting activities elsewhere. Fatalities resulting from lightning strikes may not show specific symptoms at autopsy, but there may be symptoms of burns on clothes and body and fernlike marks specific to lightning strikes on their bodies. Other signs are acute kidney failure, cardiac arrhythmias and deaths, and while internal organs may show oedema, congestion, etc, this is not in itself sufficient to establish causation. When diagnosing death from a lightning strike, it is essential to examine the deceased’s clothes, their external body and carry out a crime scene investigation. We report a series of three cases of death from a lightning strike in previously healthy men engaged in their daily activities.

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Acute Inferior Myocardial Infarction Caused by Lightning Strike

Cited by 15 publications

References 8 publications

Identify Common Risk Factor and Clinical Presentation of Myocardial Infarction Among Male and Female Adults in Saudi Arabia

Identify Common Risk Factor and Clinical Presentation of Myocardial Infarction Among Male and Female Adults in Saudi Arabia

Lichtenberg Figures: How a Cutaneous Sign Can Solve Suspicious Death Cases

Filigree burns of a lightning strike: A case series

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