Paediatric chest wall trauma causing delayed presentation of ventricular arrhythmia

Autor: Emerald Raney, Michael R Minckler, Jenny Mendelson, Angela M Tegethoff
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Delayed Diagnosis
030204 cardiovascular system & hematology
Ventricular tachycardia
Wounds
Nonpenetrating

Pericardial effusion
Delayed presentation
0302 clinical medicine
Child
Hematoma
General Medicine
Myocardial contusion
Magnetic Resonance Imaging
trauma
Echocardiography
Cardiology
cardiovascular system
Female
medicine.symptom
USA/Canada
arrhythmias
Anti-Arrhythmia Agents
medicine.drug
medicine.medical_specialty
Thoracic Injuries
Contusions
Heart Ventricles
Asymptomatic
Pericardial Effusion
03 medical and health sciences
Blunt
6-12 years
Rare Disease
emergency medicine
Internal medicine
medicine
Humans
Thoracic Wall
business.industry
Myocardium
030208 emergency & critical care medicine
Arrhythmias
Cardiac

medicine.disease
Myocardial Contusions
Heart Injuries
Verapamil
Other
business
Rare disease
Zdroj: BMJ Case Reports
ISSN: 1757-790X
Popis: This report describes a paediatric patient presenting with haemodynamically stable non-sustained ventricular tachycardia 1 day after minor blunt chest trauma. Initial laboratory studies, chest X-ray and echocardiography were normal; however, cardiac MRI revealed precordial haematoma, myocardial contusion and small pericardial effusion. Throughout her hospital course, she remained asymptomatic aside from frequent couplets and triplets of premature ventricular contractions. Ectopy was controlled with oral verapamil. This case highlights how significant cardiac injury may be missed with standard diagnostic algorithms.
Databáze: OpenAIRE