[Ventricular fibrillation in a 27-year-old patient with heart contusion].
BACKGROUND
Patients with a blunt chest trauma often sustain myocardial contusion. The spectrum of symptoms varies from regional myocardial dysfunction to myocardial rupture or sudden cardiac death.


METHODS
After a kick against his chest, a 27-year-old patient was resuscitated because of ventricular fibrillation. ECG and enzymatic pattern corresponded to an acute myocardial infarction, the echocardiogram revealed an apical and anteroseptal hypokinesia. 10 days after the acute event, coronary arteriography and ventriculography did not show any abnormalities.


CONCLUSIONS
On the basis of the anamnesis, a myocardial contusion must be discussed as reason for the ventricular fibrillation and the pathologic findings in ECG and echocardiogram. This has to be considered in the therapy.
Niedeggen
Andreas
A
Medizinische Klinik II-Kardiologie, Kreiskrankenhaus Mechemich, Lehrkrankenhaus der Universität Bonn. aniedeggen@ukaachen.de
Wirtz
Peter
P
D000328:Adult; D003288:Contusions / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000628:therapy