Commotio Cordis and complete heart block: Where is the block level?

被引:5
|
作者
Ali, Hussam [1 ]
Furlanello, Francesco [1 ]
Lupo, Pierpaolo [1 ]
Foresti, Sara [1 ]
De Ambroggi, Guido [1 ]
Epicoco, Gianluca [1 ]
Fundaliotis, Angelica [1 ]
Cappato, Riccardo [2 ]
机构
[1] Humanitas Gavazzeni, Arrhythmia & Electrophysiol Unit 2, Via M Gavazzeni 21, I-24125 Bergamo, BG, Italy
[2] Humanitas Clin & Res Ctr, Arrhythmia & Electrophysiol Res Ctr, Milan, Italy
关键词
Complete heart block; Commotio cordis; Bundle branch block; CHEST;
D O I
10.1016/j.jelectrocard.2016.06.010
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ventricular fibrillation is typically the initial arrhythmia in commotio cordis following precordium impacts that occur within an electrically vulnerable period of the cardiac cycle. Conversely, complete heart block is very rare in this context, and its mechanism and temporal course are poorly understood. The presented case concerns a 12-year-old boy, athletic skier, who developed a transient complete heart block following commotio cordis. The electrocardiographic features, the proposed block level and mechanisms of complete heart block following commotio cordis are discussed. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:148 / 150
页数:3
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