Document Detail

Delayed complications after myocardial contusion.
MedLine Citation:
PMID:  1467044     Owner:  NLM     Status:  MEDLINE    
A 45 year old farmer was kicked in the chest by a horse. In the days following the injury episodic breathlessness developed and he was admitted to hospital with right ventricular failure and pulmonary emboli. Echocardiography showed global right ventricular dysfunction but a right ventricular mural thrombus, the likely source of the pulmonary emboli, was not seen. He gradually recovered after treatment with anticoagulant. One month later he presented with a further complication--complete atrioventricular dissociation--that required a dual chamber pacemaker implantation. This patient had few initial manifestations of right ventricular myocardial contusion and this case illustrates that such patients should be closely monitored for delayed complications.
E D Grech; P A Dodds; R A Perry
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  68     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1993-01-28     Completed Date:  1993-01-28     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  529-30     Citation Subset:  AIM; IM    
Department of Cardiology, Cardiothoracic Centre, Liverpool.
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MeSH Terms
Contusions / complications*,  physiopathology
Heart Block / etiology*
Heart Injuries / complications*,  physiopathology
Middle Aged
Pulmonary Embolism / etiology*,  physiopathology
Time Factors
Ventricular Function, Right / physiology

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