‘Focal’ Cardiac Concussion – An Under-Recognized Problem?
- Author:
Tan TL
;
Dazlin Masdiana S
;
Robertson C
- Publication Type:Case Reports
- Keywords:
commotio cordis;
chest pain;
nonpenetrating;
electrocardiography
- MeSH:
Commotio Cordis
- From:Medicine and Health
2015;10(1):80-85
- CountryMalaysia
- Language:English
-
Abstract:
Cardiac concussion is a sudden, direct blunt trauma cause to the chest which led
to death. However, there are patients who did not completely fulfil this definition.
We report two cases which did not fit into the definition domain. Two male patients
presented to Emergency Department with moderate anterior chest pain after motor
vehicle crash showed transient anterior ST segment elevation at chest lead V2
and V3 with raised creatine kinase and normal troponin T. The electrocardiogram
changes fully resolved after 24 hours. Both patients were discharged uneventfully
after 24 hours monitoring in Emergency Department short-stay ward. Conventional
definition of cardiac concussion (commotion cordis) and cardiac contusion may be unsuitable to describe these cases. Therefore, we propose the diagnosis of focal
cardiac concussion. We also highlighted the ability of Emergency Department to
manage these patients in short-stay ward.
- Full text:P020150602485215147132.pdf
