[Heart contusion].
This 40 year old patient was involved in a car accident which resulted in a thoracic trauma with fracture of the sternum and the left radius. The ECG showed a complete right bundle branch block and a left anterior fascicular block (= bifascicular block). These electrocardiographic findings and an elevated CK-MB fraction after thoracic trauma were indicative for the diagnosis of myocardial contusion. The ECG was normal after 24 hours, the CK-MB after two days. The patient left the hospital after one week. Five weeks later, a control examination showed no cardiological abnormalities.
Helbling
A
A
Medizinische und Chirurgische Klinik, Zieglerspital, Bern.
König
W
W
Maire
R
R
D004562:Electrocardiography; D050723:Fractures, Bone / Q000150:complications; D006327:Heart Block / Q000175:diagnosis / Q000209:etiology*; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications; D013249:Sternum / Q000293:injuries; D013898:Thoracic Injuries / Q000150:complications*
Herzkontusion.