The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study
Yıl: 2015 Cilt: 21 Sayı: 3 Sayfa Aralığı: 193 - 196 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study
Öz: AMAÇ: Künt göğüs travmasını takiben tip 2 ikinci derece atriyoventriküler blok (Mobitz II) ve üçüncü derece atriyoventriküler blok iletim bozuklukları oldukça nadirdir. Dahası, travmayı takiben oluşan bu disritmilerden sorumlu patofizyolojik mekanizmalar henüz tam olarak anlaşılamamıştır. Biz travma ile ilişkili bu disritmilerin sıklığını tespit etmeyi amaçladık. GEREÇ VE YÖNTEM: Acil servise başvuran ardışık Mobitz II ve üçüncü derece atriyoventriküler bloklu 253 hasta, Ocak 2012 ile Mart 2013 tarihleri arasında değerlendirildi. Mobitz II ve üçüncü derece atriyoventriküler blok ve travma ile ilişkili sadece dört hasta mevcut çalışmaya alındı. Atriyoventriküler blok düzeyi elektrokardiyografik özelliklere göre tanımlandı. BULGULAR: 253 hastanın sadece dördü (ortalama yaş: 40.2±19.7 yıl, iki erkek) travma ile ilişkili bulundu. Tüm hastaların koroner anjiyografi veya çok kesitli bilgisayarlı tomografi ile koroner arterleri normal saptandı. Kalıcı kalp pili üçüncü derece atriyoventriküler bloğu olan iki hastaya takıldı. Hastaların hiçbirinde koroner arter hastalığı ve hipertansiyon yoktu. TARTIŞMA: Literatürde künt göğüs travmasına bağlı iletim kusurları nadir görülen klinik olgulardır ve genellikle geçici olmaktadır. Bu nedenle künt göğüs travması olan hastaların başvuru sırasında ve takiplerde atriyoventriküler blok açısından elektrokardiyografik değerlendirilmesi gerekir.
Anahtar Kelime: Konular:
Acil serviste künt göğüs travmasına bağlı tip 2 ikinci derece ve üçüncü derece atriyoventriküler blok sıklığı: Çok merkezli çalışma
Öz: BACKGROUND: Conduction disturbances including type 2 second-degree atrioventricular block (Mobitz II) and third-degree atrioventricular block following blunt chest trauma are probably rare. Moreover, the pathophysiological mechanisms responsible for this rare dysrhythmia following trauma are not well understood yet. In this study, it was aimed to identify the frequency of this dysrhythmia associated with trauma.METHODS: Two hundred and fifty-three consecutive Mobitz II block and third-degree atrioventricular block patients admitted to the Emergency Department of Internal Medicine between January 2012 and March 2013 were evaluated. Only four patients with Mobitz II block and third-degree atrioventricular block associated with trauma were enrolled into the present study. The level of atrioventricular block was defined according to electrocardiographic characteristics.RESULTS: Only four (mean age: 40.2±19.7 years, two male) of 253 patients were associated with trauma. All patients had normal coronary arteries in coronary angiography or multislice computed tomography. Permanent pacemaker was performed in two patients with third-degree atrioventricular block. None of the patients had coronary artery disease or hypertension.CONCLUSION: Rare clinical cases in the literature confirm that blunt chest trauma can cause conduction defects, which are usually transient. However, patients with blunt chest trauma must need an electrocardiographic evaluation for atrioventricular block upon admission and in the follow-up period
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Calhoon JH, Grover FL, Trinkle JK. Chest trauma. Approach and management. Clin Chest Med 1992;13:55-67.
- Brennan JA, Field JM, Liedtke AJ. Reversible heart block following non- penetrating chest trauma. J Trauma 1979;19:784-8.
- Hasdemir H, Arslan Y, Alper A, Osmonov D, Güvenç TS, Poyraz E, et al. Severe tricuspid regurgitation and atrioventicular block caused by blunt thoracic trauma in an elderly woman. J Emerg Med 2012;43:445-7.
- Aykan AC, Oguz AE, Yildiz M, Özkan M. Complete atrioventricular block associated with non-penetrating cardiac trauma in a 40-year-old man. J Emerg Med 2013;44:41-3.
- Kumagai H, Hamanaka Y, Hirai S, Mitsui N, Kobayashi T. Mitral valve plasty for mitral regurgitation after blunt chest trauma. Ann Thorac Car- diovasc Surg 2001;7:175-9.
- Sakka SG, Hüttemann E, Reinhart K. Left ventricular aneurysm after myocardial contusion caused by blunt chest trauma. [Article in German] Anasthesiol Intensivmed Notfallmed Schmerzther 2000;35:412-6. [Ab- stract]
- Ildstad ST, Tollerud DJ, Weiss RG, Cox JA, Martin LW. Cardiac con- tusion in pediatric patients with blunt thoracic trauma. J Pediatr Surg 1990;25:287-9.
- Carr KW, Johnson AD, Gregoratos G. Transient bifascicular block fol- lowing blunt chest trauma. West J Med 1982;137:245-9.
- Cobanoglu U. Göğüs travmalı 70 olguda kardiyolojik değişikliklerin ince- lenmesi. Toraks Dergisi 2007;8:59-68.
- Knöferl MW, Liener UC, Seitz DH, Perl M, Brückner UB, Kinzl L, et al. Cardiopulmonary, histological, and inflammatory alterations after lung contusion in a novel mouse model of blunt chest trauma. Shock 2003;19:519-25.
- Perl M, Kieninger M, Huber-Lang MS, Gross HJ, Bachem MG, Brau- müller S, et al. Divergent effects of activated neutrophils on inflamma- tion, Kupffer cell/splenocyte activation, and lung injury following blunt chest trauma. Shock 2012;37:210-8.
- Majetschak M, Obertacke U, Schade FU, Bardenheuer M, Voggenreiter G, Bloemeke B, et al. Tumor necrosis factor gene polymorphisms, leu- kocyte function, and sepsis susceptibility in blunt trauma patients. Clin Diagn Lab Immunol 2002;9:1205-11.
- Liedtke AJ, DeMuth WE Jr. Nonpenetrating cardiac injuries: a collective review. Am Heart J 1973;86:687-97.
| APA | YILDIZ B, ASTARCIOĞLU M, BAŞKURT ALADAĞ N, AYKAN A, HASDEMİR H, ŞAHİN A, Yildiz M (2015). The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. , 193 - 196. |
| Chicago | YILDIZ Banu Şahin,ASTARCIOĞLU Mehmet Ali,BAŞKURT ALADAĞ Nazire,AYKAN Ahmet Çağrı,HASDEMİR Hakan,ŞAHİN ALPASLAN,Yildiz Mustafa The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. (2015): 193 - 196. |
| MLA | YILDIZ Banu Şahin,ASTARCIOĞLU Mehmet Ali,BAŞKURT ALADAĞ Nazire,AYKAN Ahmet Çağrı,HASDEMİR Hakan,ŞAHİN ALPASLAN,Yildiz Mustafa The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. , 2015, ss.193 - 196. |
| AMA | YILDIZ B,ASTARCIOĞLU M,BAŞKURT ALADAĞ N,AYKAN A,HASDEMİR H,ŞAHİN A,Yildiz M The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. . 2015; 193 - 196. |
| Vancouver | YILDIZ B,ASTARCIOĞLU M,BAŞKURT ALADAĞ N,AYKAN A,HASDEMİR H,ŞAHİN A,Yildiz M The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. . 2015; 193 - 196. |
| IEEE | YILDIZ B,ASTARCIOĞLU M,BAŞKURT ALADAĞ N,AYKAN A,HASDEMİR H,ŞAHİN A,Yildiz M "The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study." , ss.193 - 196, 2015. |
| ISNAD | YILDIZ, Banu Şahin vd. "The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study". (2015), 193-196. |
| APA | YILDIZ B, ASTARCIOĞLU M, BAŞKURT ALADAĞ N, AYKAN A, HASDEMİR H, ŞAHİN A, Yildiz M (2015). The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. Ulusal Travma ve Acil Cerrahi Dergisi, 21(3), 193 - 196. |
| Chicago | YILDIZ Banu Şahin,ASTARCIOĞLU Mehmet Ali,BAŞKURT ALADAĞ Nazire,AYKAN Ahmet Çağrı,HASDEMİR Hakan,ŞAHİN ALPASLAN,Yildiz Mustafa The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. Ulusal Travma ve Acil Cerrahi Dergisi 21, no.3 (2015): 193 - 196. |
| MLA | YILDIZ Banu Şahin,ASTARCIOĞLU Mehmet Ali,BAŞKURT ALADAĞ Nazire,AYKAN Ahmet Çağrı,HASDEMİR Hakan,ŞAHİN ALPASLAN,Yildiz Mustafa The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. Ulusal Travma ve Acil Cerrahi Dergisi, vol.21, no.3, 2015, ss.193 - 196. |
| AMA | YILDIZ B,ASTARCIOĞLU M,BAŞKURT ALADAĞ N,AYKAN A,HASDEMİR H,ŞAHİN A,Yildiz M The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(3): 193 - 196. |
| Vancouver | YILDIZ B,ASTARCIOĞLU M,BAŞKURT ALADAĞ N,AYKAN A,HASDEMİR H,ŞAHİN A,Yildiz M The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(3): 193 - 196. |
| IEEE | YILDIZ B,ASTARCIOĞLU M,BAŞKURT ALADAĞ N,AYKAN A,HASDEMİR H,ŞAHİN A,Yildiz M "The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study." Ulusal Travma ve Acil Cerrahi Dergisi, 21, ss.193 - 196, 2015. |
| ISNAD | YILDIZ, Banu Şahin vd. "The frequency of type 2 second-degree and third-degree atrioventricular block induced by blunt chest trauma in the emergency department: A multicenter study". Ulusal Travma ve Acil Cerrahi Dergisi 21/3 (2015), 193-196. |
