Atrial Fibrillation due to Blunt Cardiac Injury

Öz

Introduction: Blunt cardiac injury secondary to chest trauma is an important cause of emergency department admissions. It can range from asymptomatic myocardial contusion to significant dysrhythmia, acute heart failure, valvular injury, or cardiac rupture. Case Report: A 38-years-old patient was admitted to the emergency department with atrial fibrillation (AF) that occurred after a car accident. The patient had chest trauma caused by striking the steering wheel during the accident. The AF rhythm of the patient reverted to the normal sinus rhythm at the 3rd hour after trauma.Conclusion: Emergency medicine professionals should keep in mind arrhythmias due to blunt chest trauma and take electrocardiograms of patients to be able to provide treatment in time

Anahtar Kelimeler

• Atrial fibrillation, cardiac injury, chest trauma

Kaynakça

1. El-Chami MF, Nicholson W, Helmy T. Blunt cardiac trauma. J Emerg Med 2008; 35: 127-33. [CrossRef]
2. Feghali NT, Prisant LM. Blunt myocardial injury. Chest 1995; 108: 1673- 77. [CrossRef]
3. Ismailov RM, Ness RB, Redmond CK, et al. Trauma associated with dys- rhythmias: results from a large matched case-control study. J Trauma 2007; 62: 1186-91. [CrossRef]
4. Ota K, Bratincsak A. Atrial Fibrillation Induced by Commotio Cordis Sec- ondary to a Blunt Chest Trauma in a Teenage Boy. Pediatrics 2015; 135: 199-201. [CrossRef]
5. Darok M, Beham-Schmid C, Gatternig R, Roll P. Sudden death from myo- cardial contusion following an isolated blunt force trauma to the chest. Int J Legal Med 2001; 115: 85-9. [CrossRef]
6. Bode F, Franz MR, Wilke I, Bonnemeier H, Schunkert H, Wiegand UK. Ventricular fibrillation induced by stretch pulse: implications for sud- den death due to commotio cordis. J Cardiovasc Electrophysiol 2006; 17: 1011-7. [CrossRef]
7. Ninio DM, Saint DA. The role of stretch-activated channels in atrial fibril- lation and the impact of intracellular acidosis. Prog Biophys Mol Biol 2008; 97: 401-6. [CrossRef]
8. Ellis DY, Hutchinson NP. Synchronized direct current cardioversion of atrial fibrillation after blunt chest trauma. J Trauma 2000; 49: 342-4. [CrossRef]

9. Illig KA, Swierzewski MJ, Feliciano DV, Morton JH. A rational screening and treatment strategy based on the electrocardiogram alone for sus- pected cardiac contusion. Am J Surg 1991; 162: 537-44. [CrossRef]
10. Sakka SG, Huettemann E, Giebe W, Reinhart K. Late cardiac arrhythmias after blunt chest trauma. Intensive Care Med 2000; 26: 792-5. [CrossRef]
11. Velmahos GC, Karaiskakis M, Salim A, Toutouzas KG, Murray J, Asensio J, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. J Trauma 2003; 54: 45-50. [CrossRef]