Review Article

Mechanisms and Clinical Management of Ventricular Arrhythmias following Blunt Chest Trauma

Table 1

Ventricular tachycardia long after BCI case findings.

CaseAge/genderSymptomsTime from BCI to TxSHDVT morph and SOOTxSuccessFollow-up

(1) Mera et al., 1998 [19]36 MPalpitations
Syncope
“Several months”NLB, inferior axis
RVOT
CAY24 months

(2) Martínez et al., 2003 [20]24 FPalpitations20 yearsYRBBB
205 bpm
LV apex
Aneurysm resectionY12 months

(3) Schaer et al., 2007 [16]33 MPalpitations22 monthsYLB, superior axis
300 bpm
RV free wall
ICD24 months
NSVT only

(4) Horduna et al., 2011 [21]10 MPalpitations3 yearsNRB, superior axis
110 bpm
LV anterolateral PM
CAY9 months

(5) Michowitz et al., 2012 [14]59 MICD therapy20 yearsYLB, inferior axis
130 bpm
RV free wall
CAY6 months

(6) Casado-Arroyo et al., 2012 [22]62 MPalpitations
Dizziness
2 yearsYRB, superior axis
160 bpm
LV lateral wall
SAY12 months

(7) Shakil et al., 2012 [13]33 MPalpitations6 monthsYLBBB
RV free wall
SAY8 months

M, male; F, female; BCI, blunt chest injury; VT, ventricular tachycardia; Tx, treatment; SOO, site of origin; CA, catheter ablation; SA, surgical ablation; NSVT, nonsustained ventricular tachycardia; LB, left bundle; RB, right bundle; ICD, internal cardioverter-defibrillator.