Details

Autor(en) / Beteiligte

• Barker, Sarah, MD
• Ghaemmaghami, Chris, MD

Titel

Myocardial contusion–induced right bundle-branch block with ST elevation and troponin elevation

Ist Teil von

• The American journal of emergency medicine, 2009-03, Vol.27 (3), p.375.e5-375.e7

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2009

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• In a patient presentation with concern for myocardial contusion, an electrocardiogram combined with a 6-hour post injury troponin can stratify which patients require admission for further monitoring and echocardiogram imaging vs who may be discharged home without concern for subsequent dysrhythmias or cardiac output failure. Physical examination revealed a patient mildly uncomfortable without chest wall echymosis or crepitus but with sternal tenderness. Because of the patient's chest pain, an electrocardiogram was completed revealing a sinus rhythm with right bundle-branch block and 1-mm ST elevation in leads II, III, and AVF (Fig. 1).