ECG CHANGES IN PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH ELECTROCUTION INJURIES Article Swipe
Amer Iqbal
,
Tamkeen Pervez
,
Muhammad Ashfaq
,
Riaz Ahmad
,
Anees Ur Rehman
,
Zeeshan Munir
,
Amer Iqbal
,
Tamkeen Pervez
,
Muhammad Ashfaq
,
Riaz Ahmad
,
Anees Ur Rehman
,
Zeeshan Munir
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.71000/2hp8kk46
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.71000/2hp8kk46
Background: Electrocution injuries often lead to a spectrum of cardiovascular disturbances, ranging from transient arrhythmias to fatal cardiac arrest. Despite their clinical significance, the frequency and pattern of electrocardiographic (ECG) abnormalities following electrical injuries remain inadequately reported in local healthcare settings. Understanding these cardiac manifestations is essential for early identification of high-risk patients and for optimizing emergency management protocols. Objective: To determine the frequency and pattern of ECG abnormalities in patients presenting with electrocution injuries and to assess their association with voltage exposure and time to hospital presentation. Methods: This observational cross-sectional study was conducted in the Emergency Department of Combined Military Hospital (CMH) Rawalpindi from January 2023 to January 2025 following ethical approval (IRB No. 592). Patients aged 12–80 years who presented within 24 hours of electrocution were included, while those with pre-existing cardiac disease, cardioselective drug use, or unrelated trauma were excluded. A structured proforma recorded demographic details, voltage exposure, contact duration, and time to presentation. Standard 12-lead ECGs were obtained and interpreted by emergency physicians and validated by senior specialists. Data were analyzed using SPSS v22 with significance set at p<0.05. Results: A total of 120 patients were analyzed (mean age 34.0 ± 13.4 years; 65.0% male). Low-voltage injuries (1000 V) accounted for 18.3% (n=22). Sinus tachycardia was the most frequent ECG finding (36.7%), followed by normal sinus rhythm (20.0%), atrial fibrillation (10.0%), and T-wave abnormalities (9.2%). High-voltage exposure showed greater association with atrial fibrillation (27.3%) and T-wave changes (18.2%). Mortality reached 40% among patients presenting after six hours, compared with 6.7% in those arriving within one hour. Conclusion: ECG abnormalities are common following electrocution, with high-voltage injuries predisposing to more severe arrhythmias and repolarization changes. Delayed presentation correlates with poorer outcomes, emphasizing the importance of early triage, ECG evaluation, and continuous cardiac monitoring in all electrocution cases.
Related Topics
Concepts
Medicine
Electrocution
Emergency department
Atrial fibrillation
Sinus tachycardia
Ventricular fibrillation
Emergency medicine
Ventricular tachycardia
Sinus rhythm
Electrocardiography
Observational study
Fibrillation
Electrical cardioversion
Medical emergency
Cardioversion
Tachycardia
Conduction abnormalities
Internal medicine
Emergency medical services
Accident and emergency
Myocarditis
Cardiology
Metadata
- Type
- article
- Landing Page
- https://doi.org/10.71000/2hp8kk46
- https://insightsjhr.com/index.php/home/article/download/1448/1492/7456
- OA Status
- hybrid
- OpenAlex ID
- https://openalex.org/W7105742928
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7105742928Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.71000/2hp8kk46Digital Object Identifier
- Title
-
ECG CHANGES IN PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH ELECTROCUTION INJURIESWork title
- Type
-
articleOpenAlex work type
- Publication year
-
2025Year of publication
- Publication date
-
2025-11-12Full publication date if available
- Authors
-
Amer Iqbal, Tamkeen Pervez, Muhammad Ashfaq, Riaz Ahmad, Anees Ur Rehman, Zeeshan Munir, Amer Iqbal, Tamkeen Pervez, Muhammad Ashfaq, Riaz Ahmad, Anees Ur Rehman, Zeeshan MunirList of authors in order
- Landing page
-
https://doi.org/10.71000/2hp8kk46Publisher landing page
- PDF URL
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https://insightsjhr.com/index.php/home/article/download/1448/1492/7456Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://insightsjhr.com/index.php/home/article/download/1448/1492/7456Direct OA link when available
- Concepts
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Medicine, Electrocution, Emergency department, Atrial fibrillation, Sinus tachycardia, Ventricular fibrillation, Emergency medicine, Ventricular tachycardia, Sinus rhythm, Electrocardiography, Observational study, Fibrillation, Electrical cardioversion, Medical emergency, Cardioversion, Tachycardia, Conduction abnormalities, Internal medicine, Emergency medical services, Accident and emergency, Myocarditis, CardiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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