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KMID : 0604020150300040349
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Korean Journal of Critical Care Medicine
2015 Volume.30 No. 4 p.349 ~ p.353
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Recurrent Pulseless Ventricular Tachycardia Induced by Commotio Cordis Treated with Therapeutic Hypothermia
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Lee Sang-Hyun
Kang Hyung-Goo
Lim Tae-Ho
Oh Jae-Hoon
Ahn Chi-won
Lee Jun-Cheal
Kim Chang-Sun
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Abstract
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The survival rate of commotio cordis is low, and there is often associated neurological disability if return of spontaneous circulation (ROSC) can be achieved. We report a case of commotio cordis treated with therapeutic hypothermia (TH) that demonstrated a favorable outcome. A 16-year-old female was transferred to our emergency department (ED) for collapse after being struck in the chest with a dodgeball. She has no history of heart problems. She was brought to our ED with pulseless ventricular tachycardia (VT), and ROSC was achieved with defibrillation. She was comatose at our ED and was treated with TH at a target temperature of 33degrees C for 24 hours. After transfer to the intensive care unit, pulseless VT occurred, and defibrillation was performed twice. She recovered to baseline neurologic status with the exception of some memory difficulties.
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KEYWORD
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commotio cordis, tachycardia, therapeutic hypothermia, ventricular, thoracic injury
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