The complete array of electrocardiogram abnormalities secondary to myocardial contusion in a single case.
Myocardial contusion is a complication of blunt thoracic injuries. Transthoracic echocardiography and electrocardiography (ECG) monitoring are important in suspected cases. We report a 54-year-old man, who sustained a number of injuries including blunt chest injury as a consequence of a road traffic accident. Electrocardiography monitoring over a 48 h period demonstrated sequential degrees of conduction system block coupled with a temporary cardio-version from persistent atrial fibrillation to sinus rhythm, suggesting coincident pulmonary vein contusion.
Babu
Girish Ganesha
GG
Hatter Institute of Cardiology, University College of London Hospitals, London WC1E 6HX, UK. girishkims@yahoo.com
Wood
Andrew
A
O'Callaghan
Peter
P
Masani
Navroz D
ND
Bleasdale
Robert A
RA
D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology; D003288:Contusions / Q000150:complications / Q000175:diagnosis*; D004562:Electrocardiography / Q000379:methods*; D006329:Heart Conduction System / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis*; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis*