首页> 美国卫生研究院文献>BMJ Case Reports >Images in…: Commotio cordis without arrhythmic event and resuscitation: ECG echocardiographic angiographic and cardiovascular resonance imaging study
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Images in…: Commotio cordis without arrhythmic event and resuscitation: ECG echocardiographic angiographic and cardiovascular resonance imaging study

机译:…中的图像:无心律失常事件和复苏的脐带动心动图:心电图超声心动图血管造影和心血管共振成像研究

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摘要

We describe a case of commotio cordis in which the patient had an extensive cardiac evaluation, including ECGs, a coronary angiogram, a left ventriculogram, repeated echocardiography and cardiovascular MRI (CMRI). A healthy 17-year-old boy sustained an open-handed blow to the anterior part of the chest from a friend with whom he was playing. On admission ECG was performed that showed ST-T alterations and a TNI increase, with echocardiographic evidence of a localised pericardial effusion associated with a persistent myocardial blush at selective angiography. In addition, CMRI confirmed a local delayed enhancement in the same zone. An echocardiogram examination performed 30 days after discharge showed a complete disappearance of pericardial effusion and an improvement on ECG alterations. This is the first case report of a patient with commotio cordis, who did not show any arrhythmias and did not receive any resuscitation procedure, and was extensively studied by imaging methods.
机译:我们描述了一个患者进行了广泛的心脏评估,包括心电图,冠状动脉造影,左心室造影,重复超声心动图和心血管MRI(CMRI)的commotio cordis的情况。一个健康的17岁男孩从与他玩过的朋友的拳头向胸部的前部猛击。入院时进行的心电图显示ST-T改变和TNI升高,超声心动图证据显示局部心包积液伴有选择性血管造影时持续的心肌红晕。此外,CMRI证实了同一区域的局部延迟增强。出院后30天进行的超声心动图检查显示心包积液完全消失,心电图改变有所改善。这是commotio cordis患者的第一例病例报告,该患者未显示任何心律不齐,也未接受任何复苏程序,并且已通过影像学方法进行了广泛研究。

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