Journal of Cardiology and Cardiovascular Therapeutics
Case Report Volume: 2 & Issue: 1
Case Report Volume: 2 & Issue: 1
Introduction: Electrical injuries (EIs) are a common health problem affecting the general population and may carry high morbidity and mortality. Electrical injuries may induce lethal ventricular arrhythmias. An early and quick recognition and diagnosis of frequent, serious, and late ECG manifestations of EIs is an essential step. Arrhythmias on the ECG represent the leading and most serious complications after electrical injury. Oxygen (O2) is a commonly neglected nutrient because of its entrance inside the human body through the lungs. Household alternating current (AC) at frequencies between 15 and 150 Hz repetitively stimulates muscle contraction, causing skeletal muscle tetany.
Case presentation: A 17-year-old single adolescent Egyptian male student was admitted to the intensive care unit (ICU) after EI with chest pain and variant ECG changes. The case was diagnosed as electrical injury-inducing Fleeting claw hand mimic-tetany sign, Yasser’s cardiac contracture, Yasser’s fading palm sign and haphazard ECG changes. The interventions were oxygenation, ABG, ECG, and echocardiography. Gradual, dramatic clinical and electrocardiographic improvement occurred.
Conclusion: Fleeting claw hand mimic-tetany, Fading mosaic palm sign, Yasser’s cardiac contracture, and ECG haphazard Yasser’s syndrome are innovations in clinical medicine. Oxygen is a vital therapy to counteract the devastating deep-tissue destruction caused by electrical injuries. Differentiation between tetany and contracture is inevitable.
Keywords: Fleeting claw hand, Mimic-tetany sign, Yasser’s cardiac contracture, Fading mosaic palm sign, and ECG haphazard Yasser’s syndrome, Oxygen reversal, Discoveries.