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[Sudden death after "home electrotherapy"].

The authors report a case of homicide by misadventure caused with electricity; a 68 years old man (who was bed-ridden because of hemiplegia following apoplexy) was "treated" with electricity by his son and son-in-law. The electricity was produced by the continuous operation of a moped and as in ECG examinations the electrodes were attached to his extremities. Following the second treatment his death was due to cerebral haemorrhage and partial aspiration of gastric content. The causal relation between the electric treatment and the death could be established. In connection with this case the authors discuss the aspects of medical expertise and emphasize the importance of complex expert examination that must be made in such cases.

Aged↗
PubMed1981

[The transesophageal approach to the heart in electrotherapy of trachycardiac arrhythmias. I. Transesophageal electrostimulation procedure].

Transoesophageal electrostimulation techniques were used in 124 cases of different tachycardiac disturbances of rhythm. By means of highly frequent transoesophageal atrial stimulation we succeeded in transformating into sinus rhythm in 46% of the patients with atrial flutter, in 29% of the cases with atrial tachycardias and in 75% of the patients with av-junctional tachycardias. At least atrial fibrillation (with decrease of the ventricular frequency) could be induced in 48% in pre-existing auricular flutter, in 38% in auricular tachycardias and in 15% in av-junctional atrial (partial success of therapy). Sinus tachycardias, atrial fibrillation and ventricular tachycardias could practically not be influenced by highly frequent transoesophageal atrial stimulation. Moreover, for the first time the techniques of the doubled or coupled atrial stimulation, in 2 cases also ventricular stimulations with higher frequency were tested on transoesophageal way and were introduced into the treatment of tachycardiac disturbances of rhythm. The therapeutic results of transoesophageal electrostimulation techniques seem to be comparable entirely with those of intracardiac stimulations, in which cases the non-invasive and uncomplicated techniques are accessible also to institutions without possibilities of heart catheterization.

Adult↗
PubMed1981

[Possibilities of electrotherapy in tachycardial rhythm disorders].

The pacemaker therapy of tachycardiac disturbances of rhythm used a great number of different methods which are applied according to the kind of disturbance of rhythm. A specialised intracardiac diagnostics is frequently necessary in order to select the suitable stimulation technique. A short survey of the different technical stimulation methods is given which are known from literature and for which own experiences are present. In the perspective a high value is ascribed to the pacemaker therapy in tachycardias.

Cardiac Pacing, Artificial↗