Is it the electrocution causing "Rutherford" muscle necrosis leading to severe arrhythmia, or the electrocution causing severe arrhythmia leading to "Rutherford" muscle necrosis? Similar to the chicken or egg dilemma, it may vary depending on each patient's specific situation.
The only thing doctors can know is that if there is a structural change in the heart, causing substantial damage to the heart muscle resulting in severe arrhythmia, medication alone is difficult to resolve.
For example, the most common medications for treating arrhythmias are nothing more than receptor and ion blockers, which cannot treat necrotic heart muscle cells. Clinically, the only medication for heart muscle damage is those that nourish the heart muscle. Internal medicine doctors generally perform symptomatic treatment for such patients. The only way to tackle the underlying disease cause is through surgery.
