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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
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Dysrhythmias III: Characteristics of Dysrhythmias01:29

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Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
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Aneurysm III: Interprofessional Care01:26

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Dysrhythmias II: Classification of Tachyarrhythmias01:28

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Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
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ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias01:25

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Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
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Late traumatic ventricular septal rupture.

Shaji Palangadan1, Narayanan Nair Padmavati Amma Padmaja2, Ameer Karavathukudy Azeez3

  • 1Department of Cardiothoracic and Vascular Surgery, KIMS, Trivandrum, India.

Asian Cardiovascular & Thoracic Annals
|February 26, 2021
PubMed
Summary
This summary is machine-generated.

Traumatic ventricular septal rupture is a rare but lethal complication of chest trauma. This case highlights a delayed presentation three weeks post-injury in a patient with severe head trauma.

Keywords:
Traumatic ventricular septal ruptureblunt injury chestcardiac trauma

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Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Traumatic ventricular septal rupture (VSR) is an uncommon yet critical consequence of blunt chest trauma.
  • VSR can be fatal if not promptly diagnosed and managed.

Observation:

  • This report details a patient with a severe head injury.
  • The patient experienced a delayed deterioration three weeks after the initial trauma.

Findings:

  • The patient's deterioration was attributed to a late-onset traumatic ventricular septal rupture.
  • This case underscores that VSR can manifest significantly after the initial injury.

Implications:

  • Clinicians should consider late VSR in patients with a history of chest trauma, especially those with concurrent severe injuries.
  • Early recognition and intervention are crucial for improving outcomes in traumatic VSR.
  • This case expands the understanding of the temporal presentation of traumatic VSR.