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Europace Advance Access originally published online on August 6, 2009
Europace 2009 11(11):1557-1559; doi:10.1093/europace/eup217
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

SHORT COMMUNICATIONS

The complete array of electrocardiogram abnormalities secondary to myocardial contusion in a single case

Girish Ganesha Babu1,*, Andrew Wood2, Peter O'Callaghan2, Navroz D. Masani2 and Robert A. Bleasdale3

1 Hatter Institute of Cardiology, University College of London Hospitals, 61, Chenies Mews, London WC1E 6HX, UK; 2 University Hospital of Wales, Cardiff, UK; 3 Royal Glamorgan Hospital, Llantrisant, Wales, UK

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.

* Corresponding author. Tel: +44 7779226795, Email: girishkims{at}yahoo.com

Manuscript submitted 28 February 2009. Accepted after revision 17 July 2009.


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