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Case Reports
. 2019 Nov 6;1(4):597-601.
doi: 10.1016/j.jaccas.2019.09.010. eCollection 2019 Dec.

Commotio Cordis: Indeed?

Roi Westreich  1 , Moti Haim  1 , Sergiy Bereza  1 , Yuval Konstantino  1
Affiliations
Case Reports

Commotio Cordis: Indeed?

Roi Westreich et al. JACC Case Rep. .

Abstract

We discuss an unusual case of a patient who initially presented with apparent commotio cordis but returned several months later with spontaneous wide complex tachycardia. This case highlights the importance of investigation of survivors of commotio cordis, especially if atypical, to determine if there is underlying cardiac disease. (Level of Difficulty: Beginner.).

Keywords: CMR, cardiac magnetic resonance; EPS, electrophysiological study; ICD, implantable cardioverter-defibrillator; LGE, late gadolinium enhancement; LV, left ventricular; VF, ventricular fibrillation; VT, ventricular tachycardia; commotio cordis; electrophysiological study; implantable cardioverter-defibrillator; ventricular tachycardia.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Initial Cardiac Rhythm Upon Arrival of the Emergency Medical Team Sustained monomorphic ventricular tachycardia that deteriorated into ventricular fibrillation.
Figure 2
Figure 2
Initial Electrocardiogram of the Second Event Wide complex tachycardia at a cycle length of 280 ms, terminated after 3 consecutive premature complexes. Atrial fibrillation is noted afterward.
Figure 3
Figure 3
Sustained Monomorphic VT Induced by Programmed Electrical Stimulation Note the similarity between lead II of the inducible ventricular tachycardia (VT) and lead II of the spontaneous arrhythmia (see Figure 2).
See this image and copyright information in PMC

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