Introduction: Lightning strike is a rare, deadly natural phenomenon, affecting multiple organ systems with serious complications. Known complications include but are not limited to myocardial infarction, arrhythmias, cardiac contusion, stroke, cutaneous burns, pulmonary disorders, neurological disorders, acute renal failure, and death. Electrophysiological effects of a strike on the heart may result in ventricular fibrillation, asystole, QT prolongation, supraventricular tachycardia, and nonspecific ST-T changes.