Commotio Cordis: A Case of Fatal Cardiac Conduction Disturbance Induced by Blunt Chest Trauma.
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概要
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We reported a case of fatal cardiac conduction disturbance induced by blunt chest trauma, "commotio cordis." A 67-year-old man experienced thoracic impact and complete A-V block on hospital arrival, then complete A-V block without escaped beats 1.5 hours after admission. He was resuscitated by cardiopulmonary resuscitation (CPR) including transcutaneous/transvenous pacing. No obvious myocardial damage showing structural injury due to trauma was seen in echocardiographic or biochemical surveys. Electrophysiological studies indicated that preexisting cardiac incapability (right bundle branch block) was not responsible for this posttraumatic episode of fatal arrhythmia. Commotio cordis, fatal cardiac conduction disturbance induced by relatively minor chest wall impact should be taken into consideration under intense monitoring in a trauma center setting and warrants further investigation.
- 一般社団法人 日本救急医学会の論文
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