1. Paediatric chest wall trauma causing delayed presentation of ventricular arrhythmia.
- Author
-
Tegethoff AM, Raney E, Mendelson J, and Minckler MR
- Subjects
- Anti-Arrhythmia Agents therapeutic use, Child, Contusions etiology, Delayed Diagnosis, Echocardiography, Female, Heart Injuries etiology, Heart Injuries pathology, Hematoma etiology, Humans, Magnetic Resonance Imaging, Myocardial Contusions diagnosis, Myocardial Contusions etiology, Pericardial Effusion, Verapamil therapeutic use, Arrhythmias, Cardiac etiology, Heart Injuries diagnosis, Heart Ventricles injuries, Heart Ventricles physiopathology, Myocardium pathology, Thoracic Injuries complications, Thoracic Wall injuries, Wounds, Nonpenetrating complications
- Abstract
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., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Published
- 2017
- Full Text
- View/download PDF