The Indian Practitioner

C. Kalal ¹, A. Rajbhoj ¹, C. Aggarwal ¹, A. Thopte ¹, M. A. Ghanekar ¹

Affiliations
1 Dept. of Medicine, PDVVPF'S Medical College and Dr. Vikhe, Patil Memorial Hospital, Ahmednagar, Maharashtra, IN

Abstract

Subclavian Steal Syndrome results from stenosis of the subclavian artery proximal to the origin of the vertebral artery. This rare disease, commoner in males results in reversal of the normal direction of blood flow in the vertebral artery from the cerebral circulation.

We report a case of a 42 year old female who presented with right sided hemiparesis and history of giddiness, precipitated by activity involving right upper limb especially with overhead abduction. Radial and Brachial pulsations in right upper limb were absent. Echocardiogram, MR brain angio, Aortogram and right upper limb arterial Colour Doppler confirmed a right subclavian steal. This rare condition even rarer in females had an unusual right upper limb involvement instead of the usual left upper limb involvement. Though she had initially presented as a Cerebrovascular accident she was finally found to have a subclavian steal.

Keywords

Subclavian Steal Syndrome, Right Hemiparesis, Atherosclerosis.

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A. A. Rajbhoj ¹, A. Thopte ¹, D. Giri ¹, A. Tyagi ¹

Affiliations
1 PDVVPF'S Medical College and Dr.Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN

Abstract

Electrical shock affects the cardiovascular system in nearly one third of patients. The pathway of the electrical current through the body determines the effects on the cardiovascular system. We discuss a rare case of a 40 year old male admitted with ECG changes suggestive of inferior wall myocardial infarction following accidental contact with a high voltage electricity power line. CPK-MB and Troponin was positive. Echocardiography demonstrated mild inferior wall hypokinesia. The optimal management of myocardial injury after electrical shock may be debated, because there is no consensus as to the best management of ST segment elevation myocardial infarction after electrical shock as myocardial injury might occur due to a nonocclusive mechanism, as in the present case revealed by normal coronary angiography. So there may be no need for either medical or mechanical reperfusion.

Keywords

Electric Shock, Electrocardiography, Echocardiography, Coronary Angiography, Myocardial Infraction.

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