Myocardial contusion–induced right bundle-branch block with ST elevation and troponin elevation
Sarah Barker, MD
Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908, USA
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Fig. 1
Electrocardiogram at presentation.
Fig. 2
Electrocardiogram 10 minutes after initial electrocardiogram.
Fig. 3
Electrocardiogram 1 hour after initial electrocardiogram.
Fig. 4
Electrocardiogram at discharge.
Blunt myocardial contusion encompasses a diverse history of definitions and associated diagnostic modalities. A case report of a 24-year-old man who sustained blunt myocardial contusion during a motor vehicle collision shows the appropriate evaluation and treatment of this condition. 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.
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Published by Elsevier Inc.
