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Burn progression secondary to cardioversion.

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¹Division of Plastic Surgery, University of Calgary and Foothills Medical Center, Alberta, Canada.

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Summary

Severe burn patients may develop cardiac arrhythmias. Cardioversion, used to treat arrhythmias, can cause superficial burns, which in a novel case, progressed to full-thickness injuries.

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Area of Science:

Burn injury research
Cardiology
Critical care medicine

Background:

Severe burns trigger a hypermetabolic state and catecholamine surges.
These surges can lead to cardiac arrhythmias, especially in patients with pre-existing heart conditions.
Unstable arrhythmias often require cardioversion to restore normal sinus rhythm.

Observation:

Superficial cutaneous burns are a known complication of cardioversion due to skin-paddle interface impedance.
A novel case involved a patient with a pre-existing superficial flame burn.
This superficial burn subsequently progressed to a full-thickness injury after cardioversion.

Findings:

Cardioversion can exacerbate existing superficial burns.
The progression from superficial to full-thickness burn occurred locally at the site of the initial burn.
This highlights a potential complication of treating arrhythmias in burn patients.

Implications:

Clinicians should be aware of the risk of burn progression after cardioversion.
Further research is needed to understand the mechanisms of burn exacerbation post-cardioversion.
This finding may influence treatment protocols for burn patients with cardiac arrhythmias.