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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Atrial Fibrillation Induced by Commotio Cordis Secondary to a Blunt Chest Trauma in a Teenage Boy
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Atrial Fibrillation Induced by Commotio Cordis Secondary to a Blunt Chest Trauma in a Teenage Boy

机译：Commotio Cordis继发于十几岁男孩的钝性胸外伤后引起的心房颤动

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摘要

Low-energy blunt chest trauma can cause commotio cordis and ventricular fibrillation (VF) in otherwise healthy young individuals. If the chest wall impact occurs during a narrow vulnerable window of ventricular repolarization, the generated premature ventricular impulse can lead to VF and sudden death. Atrial fibrillation (AF) in association with a blunt chest trauma has not yet been reported in a child or adolescent. Our case describes a healthy 16-year-old boy who suffered blunt chest trauma during football practice. He was found to have AF, which resolved in 3 days without any therapy. He did not have any identifiable structural or electrical cardiac abnormality and had no previous history of arrhythmia. We hypothesize that AF, similar to commotio cordis-induced VF, may occur as a result of a blunt chest trauma in healthy young individuals. Animal studies evaluating arrhythmias related to chest wall impact may elucidate the timing and mechanism of AF induced by commotio cordis.
机译：低能量的钝性胸外伤可导致健康的年轻个体发生昏迷和心室纤颤（VF）。如果在狭窄的脆弱的心室复极窗口期间发生胸壁撞击，则所产生的过早的心室冲动会导致室颤和猝死。尚无儿童或青少年心房颤动（AF）与钝性胸部外伤相关的报道。我们的病例描述了一个健康的16岁男孩，他在足球练习中遭受了钝的胸部创伤。发现他患有房颤，无需任何治疗即可在3天内治愈。他没有任何可识别的结构或心电异常，也没有心律失常的病史。我们假设，健康的年轻人中，由于钝性胸外伤可能会发生类似于commotio cordis诱发的VF的AF。评估与胸壁撞击有关的心律不齐的动物研究可能阐明了由樟脑诱发的房颤的发生时间和机制。

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