Acute ST-Segment Elevation From an Ingested Battery: A Case Report
Authors: Gianfranco Giannasi, Valentina Nanni, Andrea Nucci, Alessandro Paoletti Perini, Marzia Giaccardi
Journal: Annals of Internal Medicine (2020)

LettersMarch 2021Acute ST-Segment Elevation From an Ingested Battery: A Case ReportGianfranco Giannasi, MD, Valentina Nanni, MD, Andrea Nucci, MD, Alessandro Paoletti Perini, MD, Marzia Giaccardi, MDGianfranco Giannasi, MDSan Giovanni di Dio Hospital, USL Toscana Centro Florence, ItalySearch for more papers by this author, Valentina Nanni, MDSan Giovanni di Dio Hospital, USL Toscana Centro Florence, ItalySearch for more papers by this author, Andrea Nucci, MDSan Giovanni di Dio Hospital, USL Toscana Centro Florence, ItalySearch for more papers by this author, Alessandro Paoletti Perini, MDSanta Maria Nuova Hospital, USL Toscana Centro Florence, ItalySearch for more papers by this author, Marzia Giaccardi, MDSanta Maria Nuova Hospital, USL Toscana Centro Florence, ItalySearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L20-1123 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Most reports of battery ingestion describe swallowing by children, who are more likely to ingest button batteries than cylindrical batteries (1). The first report we could identify of battery ingestion in an adult was published in 1987 and described a 38-year-old woman with paranoid schizophrenia who swallowed 5 AA batteries (2). Because of artifacts, an electrocardiogram (ECG) could not be obtained until the batteries were surgically removed. The same patient had previously ingested a single battery without showing ECG effects. Another report described a prisoner who swallowed “four double A batteries, three battery casings, and a small pen” (3). ...References1. Litovitz T, Schmitz BF. Ingestion of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics. 1992;89:747-57. [PMID: 1557273] CrossrefMedlineGoogle Scholar2. Proctor MH. Assault by battery [Letter]. N Engl J Med. 1987;316:554. [PMID: 3808005] CrossrefMedlineGoogle Scholar3. Kaplan DS. Battery ingestion and EKG interference [Letter]. Gastrointest Endosc. 1990 Mar-Apr;36:162-3. [PMID: 2335291] CrossrefMedlineGoogle Scholar4. Chang H, Hu SC, Tsai MJ. Cylindrical battery ingestion with electrocardiogram mimicking ST-segment elevation myocardial infarction. J Am Coll Cardiol. 2012;59:2387. [PMID: 22698494] doi:10.1016/j.jacc.2011.11.073 CrossrefMedlineGoogle Scholar5. Ordoobadi AJ, Allar BG, Orhurhu V, et al. ST segment elevation caused by artifact from cylindrical battery ingestion. J Emerg Med. 2020;58:673-676. [PMID: 32001122] doi:10.1016/j.jemermed.2019.12.027 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: San Giovanni di Dio Hospital, USL Toscana Centro Florence, ItalySanta Maria Nuova Hospital, USL Toscana Centro Florence, ItalyDisclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L20-1123.Corresponding Author: Marzia Giaccardi, MD, Cardiology and Electrophysiology Unit, Department of Internal Medicine, Santa Maria Nuova Hospital, USL Toscana Centro, Piazza Santa Maria Nuova, 1 Florence, Italy; e-mail, marzia.[email protected]toscana.it.This article was published at Annals.org on 24 November 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics March 2021Volume 174, Issue 3Page: 425-426KeywordsAcute myocardial infarctionClinical laboratoriesEndoscopyHospital medicineIngestionIschemiaResearch laboratoriesSchizophreniaSwallowingTroponin ePublished: 24 November 2020 Issue Published: March 2021 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...