EXTENSIVE PECTORAL MUSCLE NECROSIS AFTER DEFIBRILLATION - NONTHERMAL SKELETAL-MUSCLE DAMAGE CAUSED BY ELECTROPORATION

Authors
VOGEL U WANNER T BULTMANN B
Citation
U. Vogel et al., EXTENSIVE PECTORAL MUSCLE NECROSIS AFTER DEFIBRILLATION - NONTHERMAL SKELETAL-MUSCLE DAMAGE CAUSED BY ELECTROPORATION, Intensive care medicine, 24(7), 1998, pp. 743-745
Citations number
4
Categorie Soggetti
Emergency Medicine & Critical Care
Journal title
Intensive care medicine → ACNP
ISSN journal
03424642
Volume
24
Issue
7
Year of publication
1998
Pages
743 - 745
Database
ISI
SICI code
0342-4642(1998)24:7<743:EPMNAD>2.0.ZU;2-I
Abstract
A37-year-old Italian male developed a myocardial infarct with subseque nt ventricular fibrillation. He was defibrillated seven times with up to 360 Joules. Thirteen days later the patient died of recurrent myoca rdial infarct due to thrombotic occlusion of the left circumflex coron ary artery. At autopsy, necrosis of the right pectoralis muscle was ob served. Electroporation is the pathogenetic mechanism of skeletal musc le damage due to multiple defibrillations with high energy levels.