Delayed ST-Segment Elevation after Electrical Injury Mimicking Acute Myocardial Infarction: A Case Study

Electrical injury can cause cardiac problems and various electrocardiographic (ECG) changes. It has been suggested that an electrical current may permanently damage the cardiac conduction tissue and predispose to late dysrhythmia. Less serious delayed transient ECG changes have also been described after electrical injury, such as ST segment elevation. In the emergency department, a patient who has chest pain and ECG changes should be investigated through his history about any previous electrical injury, so that we can differentiate myocardial infarction and other cardiac problems mimicking it.Here, we report a man with delayed ST Segment Elevation due to electric shock. Although he had frankly normal coronary arteries by coronary angiography, myocardial infarction was objectively evident by cardiac enzymes & electrocardiography. He was discharged in good health with non-specific electrocardiographic changes. [Dalvani V NJIRM 2015; 6(1):107-110]