We present the case of a young man who suffered severe anteroapical my
ocardial necrosis caused by electrocution, In addition to the enzymati
c and electrocardiographic changes suggesting necrosis, a clear positi
ve segmental image on Tc-99m-pyrophosphate scintigraphy and a detect o
n a Tl-201 SPECT scan at rest were also found, Although these tests we
re indicative of extensive anteroapical transmural myocardial necrosis
, the echocardiographic study only revealed mild anteroapical hypokine
sia.