Michowitz Yoav, Tung Roderick, Athill Charles, Shivkumar Kalyanam
UCLA Cardiac Arrhythmia Center, David Geffen School of Medicine at UCLA, Los Angeles, California San Diego Cardiac Center, San Diego, California 90095–1679, USA.
Pacing Clin Electrophysiol. 2012 May;35(5):e127-30. doi: 10.1111/j.1540-8159.2011.03121.x.
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.
室性心动过速作为钝性胸部创伤的晚期并发症从未有过报道。我们报告一例对右心室致心律失常基质进行心内膜和心外膜联合描绘的病例，其中排除了心肌病的其他病因。心外膜瘢痕比心内膜瘢痕更广泛，且中央峡部可能位于心肌壁内。对于右心室心肌病患者，应考虑有钝性胸部创伤史。
