CMAJ • May 20, 2008; 178 (11). First published May 1, 2008; doi:10.1503/cmaj.071867
© 2008 Canadian Medical Association or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
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Mechanisms and innovations

Cardiac stimulation with high voltage discharge from stun guns

Kumaraswamy Nanthakumar, MD, Stephane Massé, PEng MASc, Karthikeyan Umapathy, PhD, Paul Dorian, MD, Elias Sevaptsidis and Menashe Waxman, MD

From the University of Toronto (Nanthakumar, Massé, Umapathy, Dorian, Sevaptsidis, Waxman); the Division of Cardiology, Toronto General Hospital (Nanthakumar, Massé, Umapathy, Sevaptsidis, Waxman); and St. Michael's Hospital (Dorian), Toronto, Ont.

Correspondence to: Dr. Kumaraswamy Nanthakumar, Division of Cardiology, Toronto General Hospital, GW 3-522, 150 Gerrard St. W, Toronto ON M5G 2C4

The ability of an electrical discharge to stimulate the heart depends on the duration of the pulse, the voltage and the current density that reaches the heart. Stun guns deliver very short electrical pulses with minimal amount of current at high voltages. We discuss external stimulation of the heart by high voltage discharges and review studies that have evaluated the potential of stun guns to stimulate cardiac muscle. Despite theoretical analyses and animal studies which suggest that stun guns cannot and do not affect the heart, 3 independent investigators have shown cardiac stimulation by stun guns. Additional research studies involving people are needed to resolve the conflicting theoretical and experimental findings and to aid in the design of stun guns that are unable to stimulate the heart.



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