Recurrent Pulseless Ventricular Tachycardia Induced by Commotio Cordis Treated with Therapeutic Hypothermia
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The survival rate of commotio cordis is low, and there is often associated neurological disability if return of spontaneous circulation (ROSC) can be achieved. We report a case of commotio cordis treated with therapeutic hypothermia (TH) that demonstrated a favorable outcome. A 16-year-old female was transferred to our emergency department (ED) for collapse after being struck in the chest with a dodgeball. She has no history of heart problems. She was brought to our ED with pulseless ventricular tachycardia (VT), and ROSC was achieved with defibrillation. She was comatose at our ED and was treated with TH at a target temperature of 33°C for 24 hours. After transfer to the intensive care unit, pulseless VT occurred, and defibrillation was performed twice. She recovered to baseline neurologic status with the exception of some memory difficulties.
Abstract
The survival rate of commotio cordis is low, and there is often associated neurological disability if return of spontaneous circulation (ROSC) can be achieved. We report a case of commotio cordis treated with therapeutic hypothermia (TH) that demonstrated a favorable outcome. A 16-year-old female was transferred to our emergency department (ED) for collapse after being struck in the chest with a dodgeball. She has no history of heart problems. She was brought to our ED with pulseless ventricular tachycardia (VT), and ROSC was achieved with defibrillation. She was comatose at our ED and was treated with TH at a target temperature of 33°C for 24 hours. After transfer to the intensive care unit, pulseless VT occurred, and defibrillation was performed twice. She recovered to baseline neurologic status with the exception of some memory difficulties.
참고문헌 (20)
- Maron BJ, "Clinical profile and spectrum of commotion cordis", JAMA, 287, pp.1142~1146 (2002)
- Maron BJ, "Global epidemiology and demographics of commotion cordis", Heart Rhythm, 8, pp.1967~1971 (2011)
- Maron BJ, "Commotio cordis and the epidemiology of sudden death in competitive lacrosse", Pediatrics, 124, pp.966~971 (2009)
- Maron BJ, "Blunt impact to the chest leading to sudden death from cardiac arrest during sports activities", N Engl J Med, 333, pp.337~342 (1995)
- Link MS, "An experimental model of sudden death due to low-energy chest-wall impact (commotion cordis)", N Engl J Med, 338, pp.1805~1811 (1998)
- Peberdy MA, "Part 9: postcardiac arrest care: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care", Circulation, 122(18Suppl 3), pp.S768~S786 (2010)
- 박형섭, "Commotio Cordis 1예", Korean Circulation Journal, 33(8), pp.719~722 (2003), 대한심장학회
- 조웅룡, "교통사고로 응급실로 내원한 Commotio Cordis 1례", 대한응급의학회지, 25(4), pp.484~488 (2014), 대한응급의학회
- Link MS, "Impact directly over the cardiac silhouette is necessary to produce ventricular fibrillation in an experimental model of commotio cordis", J Am Coll Cardiol, 37, pp.649~654 (2001)
- Link MS, "Upper and lower limits of vulnerability to sudden arrhythmic death with chest-wall impact (commotio cordis)", J Am Coll Cardiol, 41, pp.99~104 (2003)
- Kaplan JA, "Commotio cordis in two amateur ice hockey players despite the use of commercial chest protectors: case reports", J Trauma, 34, pp.151~153 (1993)
- Abrunzo TJ, "Commotio cordis. The single, most common cause of traumatic death in youth baseball", Am J Dis Child, 145, pp.1279~1282 (1991)
- Dickman GL, "Venticular fibrillation following baseball injury", Phys Sport Med, 6, pp.85~86 (1978)
- Green ED, "Cardiac concussion following softball blow to the chest", Ann Emerg Med, 9, pp.155~157 (1980)
- Ota K, "Atrial fibrillation induced by commotio cordis secondary to a blunt chest trauma in a teenage boy", Pediatrics, 135, pp.e199~e210 (2015)
- Maron BJ, "Commotio cordis", N Engl J Med, 362, pp.917~927 (2010)
- Link MS, "Commotio cordis: ventricular fibrillation triggered by chest impact-induced abnormalities in repolarization", Circ Arrhythm Electrophysiol, 5, pp.425~432 (2012)
- Hammer MD, "Hypothermia for acute ischemic stroke: not just another neuroprotectant", Neurologist, 9, pp.280~289 (2003)
- Olsen TS, "Therapeutic hypothermia for acute stroke", Lancet Neurol, 2, pp.410~416 (2003)
- Auer RN, "Non-pharmacologic (physiologic) neuroprotection in the treatment of brain ischemia", Ann N Y Acad Sci, 939, pp.271~282 (2001)