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Ventricular Tachycardia from Remote Blunt Chest Trauma: Combined Epicardial‐Endocardial Right Ventricular Substrate Characterization
Author(s) -
MICHOWITZ YOAV,
TUNG RODERICK,
ATHILL CHARLES,
SHIVKUMAR KALYANAM
Publication year - 2012
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2011.03121.x
Subject(s) - medicine , cardiology , ventricular tachycardia , blunt , cardiomyopathy , radiology , heart failure
Ventricular tachycardia as a late complication of blunt chest trauma has never been reported. We present a case of combined endocardial and epicardial delineation of the right ventricular arrhythmogenic substrate, where other causes of cardiomyopathy were excluded. The epicardial scar was more extensive than endocardial scar, and the central isthmus was likely intramural. A history of blunt chest trauma should be considered in patients with right ventricular cardiomyopathy. (PACE 2012; 35:e127–e130)