Intermittent left bundle branch block (LBBB) as a clinical manifestation of myocardial contusion after blunt chest trauma

被引:11
|
作者
Pizzo, VRP
Beer, I
de Cleva, R
Zilberstein, B
机构
[1] Univ Sao Paulo, Sch Med, Hosp Clin, Dept Clin Emergencies, Sao Paulo, Brazil
[2] Univ Sao Paulo, Sch Med, Hosp Clin, Digest Surg Div,Surg Intens Care Unit, Sao Paulo, Brazil
[3] Univ Sao Paulo, Sch Med, Hosp Clin, Digest Surg Div,Surg Intens Care Unit, Sao Paulo, Brazil
[4] Univ Sao Paulo, Sch Med, Hosp Clin, Dept Gastroenterol,Digest Surg Div, Sao Paulo, Brazil
关键词
D O I
10.1136/emj.2003.012518
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Injury to the heart in blunt chest trauma is dependent on a number of factors. Symptoms are often non-specific, and there is no gold standard test for diagnosis. Injuries to small areas of the myocardium may only be identified at autopsy. We report a 38 year old man who sustained a number of injuries in a road traffic accident, and in whom the single clinical or ECG abnormality was a left bundle branch block (LBBB); he had a myocardial injury rated as grade II. The patient was treated for his injuries and later discharged. As this is a difficult diagnosis, algorithms of blunt chest trauma may save time and money by avoiding misleading diagnosis and unnecessary monitoring and admissions.
引用
收藏
页码:300 / 301
页数:2
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