Induction of paroxysmal supraventricular tachycardia by electrical trauma in a patient with an implantable cardiac monitor due to recurrent syncope
Abstract
The aim of the study is to descript of a clinical observation of the impact of electrical trauma on a patient with the induction of paroxysmal supraventricular tachycardia in real time using an implantable cardiac monitor Confirm Rx and a remote ECG monitoring system MerlinNet. Materials and methods. A modern electrophysiological diagnostic method was used: an implantable cardiac monitor connected to the remote ECG monitoring network MerlinNet. Results and conclusion. Direct exposure of the patient to alternating electric current led to the induction of a stable paroxysmal supraventricular tachycardia, recorded in real time. In the world literature, isolated clinical cases with the induction of cardiac arrhythmia (supraventricular tachycardia, atrial fibrillation and even ventricular tachycardia) are described, but on the other hand, there are known cases when such an impact on the patient's body did not lead to the occurrence of cardiac arrhythmia, which is probably due to the influence of individual predisposing factors (genetically determined) of the body itself.
About the Authors
K. V. Filtsov
Federal Center for Cardiovascular Surgery
Russian Federation
Russian Federation
Chelyabinsk
E. A. Grigoricheva
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
References
1. Num A. K., Gislason G., Christianse C. B., и др. Syncope and motor vehicle crash risk: a Danish Nationwide study // JAMA Intern. Med. – 2016. – Т. 176, № 4. – С. 503–510.
2. Shen W. K., Sheldon R. S., Benditt D. G., и др. 2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology / American Heart Association / Task Force on Clinical Practice Guidelines and the Heart Rhythm Society // Heart Rhythm. – 2017. – Т. 14, № 8. – С. e155–e217.
3. Brignole M., Moya A., de Lange F. J., и др. Practical instructions for the 2018 ESC guidelines for the diagnosis and management of syncope // Eur. Heart J. – 2018. – Т. 39, № 21. – С. e43–e80.
4. Brignole M., Moya A., de Lange F. J., и др. 2018 ESC guidelines for the diagnosis and management of syncope // Eur. Heart J. – 2018. – Т. 39, № 21. – С. 1883–1948.
5. Priori S. G., Blomström-Lundqvist C., Mazzanti A., и др. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death / The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC) // Eur. Heart J. – 2015. – Т. 36, № 41. – С. 2793–2867.
6. Shen W. K., Sheldon R. S., Benditt D. G., и др. 2017 ACC/AHA/ HRS guideline for the evaluation and management of patients with syncope: a report of the American College of Cardiology / American Heart Association / Task Force on Clinical Practice Guidelines and the Heart Rhythm Society // Heart Rhythm. – 2017. – Т. 14, № 8. – С. e155–e217.
7. Al-Khatib S. M., Stevenson W. G., Ackerman M. J., и др. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death // Circulation. – 2018. – Т. 138, № 13. – С. e272–e391.
8. Wang W., Orgeron G., Tichnell C., и др. Impact of exercise restriction on arrhythmic risk among patients with arrhythmogenic right ventricular cardiomyopathy // J. Am. Heart Assoc. – 2018. – Т. 7, № 12. – С. e008843.
9. Шилова М. А., Мамедов М. Н. Внезапная сердечная смерть лиц молодого возраста: факторы риска, причины, морфологические эквиваленты // Кардиология. – 2015. – № 7 (55). – С. 78–83.
10. Жиркова Е. А., Спиридонова Т. Г., Сачков А. В., Светлов К. В. Электротравма (обзор литературы) // Журнал им. Н. В. Склифосовского «Неотложная медицинская помощь». – 2019. – Т. 8, № 4. – С. 443–450.
11. Bernstein T. Theories of the causes of death from electricity in the late nineteenth century // Med. Instrum. – 1975. – Т. 9, № 6. – С. 267–273.
12. Соколов В. А., Степаненко С. А., Петрачков А. Л., Адмакин А. Л. Эпидемиология поражений электрическим током: электротравма и электроожоги (обзор иностранных публикаций) // Медико-биологические и социально-психологические проблемы безопасности в чрезвычайных ситуациях. – 2014. – № 4. – С. 26–33.
13. Shih J. G., Shahrokhi S., Jeschke M. G. Review of adult electrical burn injury outcomes worldwide: an analysis of low-voltage vs highvoltage electrical injury // J. Burn Care Res. – 2017. – Т. 38, № 1. – С. e293–e298.
14. Mangelsdorff G., García-Huidobro M. A., Nachari I., Atenas O., Whittle S., Villegas J. High voltage electrical burns as a risk factor for mortality among burn patients // Revista Medica de Chile. – 2011. – Т. 139, № 2. – С. 177–181.
15. Шкрабак В. С., Рузанова Н. И. Особенности электропоражений и методы защиты от воздействия электрической дуги // Аграрный научный журнал. – 2015. – № 3. – С. 63–66.
16. Macmahon H. E. Electric Shock // The American Journal of Pathology. – 1929. – Т. 5, № 4. – С. 333–348.
17. Hun J. L., Mason A. D., Masterson T. S., Pruitt B. A. Jr. The pathophysiology of acute electric injuries // The Journal of Trauma and Acute Care Surgery. – 1976. – Т. 16, № 5. – С. 335–340.
18. Quartieri F., Cauti F., Calo L., и др. Retrospective analysis of Confirm Rx SharpSense Technology using Real-World Data from the SMART Registry. Presented at Asia Pacific Heart Rhythm Society (APHRS); Bangkok, Thailand; Oct 27–29, 2019.
19. Piorkowski C., Shaik N. A., Tilz R. R., и др. Episode Rates with Confirm Rx SharpSense Technology using a Real-World Monitoring Database. Presented at Asia Pacific Heart Rhythm Society (APHRS); Bangkok, Thailand; Oct 27–29, 2019.
20. Piorkowski C., Manyam H., Lakkireddy D., и др. Effectiveness and performance of Confirm Rx SharpSense Technology: A Multi-center Retrospective Analysis. Presented at Asia Pacific Heart Rhythm Society (APHRS); Bangkok, Thailand; Oct 27–29, 2019.
Review
For citations:
Filtsov K.V., Grigoricheva E.A. Induction of paroxysmal supraventricular tachycardia by electrical trauma in a patient with an implantable cardiac monitor due to recurrent syncope. Title in english. 2025;20(3):38-43. (In Russ.)
Views:
6
Email this article 
