open access

Vol 14, No 1 (2007)
Case Reports
Published online: 2006-12-01
Submitted: 2013-01-14
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Lightning-induced ventricular fibrillation

Deborah R. Levy i Toshio Akiyama
Cardiol J 2007;14(1):91-94.

open access

Vol 14, No 1 (2007)
Case Reports
Published online: 2006-12-01
Submitted: 2013-01-14

Abstract

We present a case of a previously healthy 17 year-old white male boy scout who collapsed after a lightning strike, and was found to be in ventricular fibrillation when emergency medical services arrived. The ventricular fibrillation was defibrillated into sinus rhythm after a single direct current (DC) countershock. However, the patient has remained in coma. Commotio cordis, sudden cardiac death from low-energy chest wall impact, is a phenomenon in which an exactly timed and located blow on the chest during the cardiac cycle results in ventricular fibrillation. Commotio cordis and electrical shock can both result in ventricular arrhythmias. We speculate that in this patient, ventricular fibrillation began immediately after the lightning, which probably struck at the peak of the T wave. (Cardiol J 2007; 14: 91–94)

Abstract

We present a case of a previously healthy 17 year-old white male boy scout who collapsed after a lightning strike, and was found to be in ventricular fibrillation when emergency medical services arrived. The ventricular fibrillation was defibrillated into sinus rhythm after a single direct current (DC) countershock. However, the patient has remained in coma. Commotio cordis, sudden cardiac death from low-energy chest wall impact, is a phenomenon in which an exactly timed and located blow on the chest during the cardiac cycle results in ventricular fibrillation. Commotio cordis and electrical shock can both result in ventricular arrhythmias. We speculate that in this patient, ventricular fibrillation began immediately after the lightning, which probably struck at the peak of the T wave. (Cardiol J 2007; 14: 91–94)
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Keywords

lighting; commotio cordis

About this article
Title

Lightning-induced ventricular fibrillation

Journal

Cardiology Journal

Issue

Vol 14, No 1 (2007)

Pages

91-94

Published online

2006-12-01

Bibliographic record

Cardiol J 2007;14(1):91-94.

Keywords

lighting
commotio cordis

Authors

Deborah R. Levy i Toshio Akiyama

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