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BMJ Case Rep. 2017 Jul 24;2017. pii: bcr-2017-220498. doi: 10.1136/bcr-2017-220498.

Paediatric chest wall trauma causing delayed presentation of ventricular arrhythmia.

Author information

1
Department of Emergency Medicine, Banner-University Medical Center Tucson, Tucson, Arizona, USA.

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.

KEYWORDS:

arrhythmias; emergency medicine; trauma

PMID:
28739617
PMCID:
PMC5623198
DOI:
10.1136/bcr-2017-220498
[Indexed for MEDLINE]
Free PMC Article

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