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Contusio cordis associated with atrioventricular block and tricuspid regurgitation.

Longo Neto GC, Martins Wde A, Villacorta Junior H, Silva EN, Haffner PM, Souza DG - Arq. Bras. Cardiol. (2014)

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The expression "contusio cordis" defines a lesion of the cardiac resulting from a blunt trauma to the precordial region... electromechanical disorder consequent to a blunt trauma to the precordial region, at a the present study is to report a case of contusio cordis associated when chest trauma occurs within the 10 to 30 ms preceding the T wave, ventricular fibrillation usually results... The situation here reported is unusual, and no similar report has been found in the bases searched... anterior anatomical position in the chest; however, TR is rare, and, when present, is well tolerated... Usually TR The most common clinical manifestations of contusio cordis are chest pain resulting from local trauma and syncope.

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Echocardiogram evidencing tricuspid regurgitation
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f02: Echocardiogram evidencing tricuspid regurgitation

Mentions: The patient is a 37-year-old male with a history of admission to an emergency unit nineyears before due to syncope after blunt trauma to his precordial region. That chesttrauma was caused by a stone that hit the patient while inside a train at high speed. Atthe time, he received local care, denied cardiovascular symptoms and previous diseases,and was discharged. However, the patient reported dyspnea one year later and a newsyncopal episode. He was then diagnosed with CAVB and submitted to permanent VVIpacemaker implantation. The patient reported being asymptomatic and skipping follow-upand pacemaker review for seven years, until one year ago, when dyspnea, fatigue andsyncope resumed. On examination, he had dyspnea, bradycardia, pathological jugularvenous distension, cannon A wave, lateral displacement of the apex beat, and heartmurmur compatible with TR. Chest teleradiography evidenced heart enlargement. Theelectrocardiogram (Figure 1) showed CAVB. Theechocardiogram (Figure 2) confirmed important TRsecondary to rupture of tricuspid chordae tendineae and rightventricular dysfunction, allowing free communication between the right atrium and rightventricle, with significant right ventricular enlargement (5.0 cm). The otherechocardiographic measures were as follows: left atrium, 3.4 cm; left ventricularsystolic and diastolic volumes, 113 mL and 154 mL, respectively. Important systolicdysfunction was evidenced, with ejection fraction of 27%.


Contusio cordis associated with atrioventricular block and tricuspid regurgitation.

Longo Neto GC, Martins Wde A, Villacorta Junior H, Silva EN, Haffner PM, Souza DG - Arq. Bras. Cardiol. (2014)

Echocardiogram evidencing tricuspid regurgitation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150671&req=5

f02: Echocardiogram evidencing tricuspid regurgitation
Mentions: The patient is a 37-year-old male with a history of admission to an emergency unit nineyears before due to syncope after blunt trauma to his precordial region. That chesttrauma was caused by a stone that hit the patient while inside a train at high speed. Atthe time, he received local care, denied cardiovascular symptoms and previous diseases,and was discharged. However, the patient reported dyspnea one year later and a newsyncopal episode. He was then diagnosed with CAVB and submitted to permanent VVIpacemaker implantation. The patient reported being asymptomatic and skipping follow-upand pacemaker review for seven years, until one year ago, when dyspnea, fatigue andsyncope resumed. On examination, he had dyspnea, bradycardia, pathological jugularvenous distension, cannon A wave, lateral displacement of the apex beat, and heartmurmur compatible with TR. Chest teleradiography evidenced heart enlargement. Theelectrocardiogram (Figure 1) showed CAVB. Theechocardiogram (Figure 2) confirmed important TRsecondary to rupture of tricuspid chordae tendineae and rightventricular dysfunction, allowing free communication between the right atrium and rightventricle, with significant right ventricular enlargement (5.0 cm). The otherechocardiographic measures were as follows: left atrium, 3.4 cm; left ventricularsystolic and diastolic volumes, 113 mL and 154 mL, respectively. Important systolicdysfunction was evidenced, with ejection fraction of 27%.

View Article: PubMed Central - PubMed

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The expression "contusio cordis" defines a lesion of the cardiac resulting from a blunt trauma to the precordial region... electromechanical disorder consequent to a blunt trauma to the precordial region, at a the present study is to report a case of contusio cordis associated when chest trauma occurs within the 10 to 30 ms preceding the T wave, ventricular fibrillation usually results... The situation here reported is unusual, and no similar report has been found in the bases searched... anterior anatomical position in the chest; however, TR is rare, and, when present, is well tolerated... Usually TR The most common clinical manifestations of contusio cordis are chest pain resulting from local trauma and syncope.

Show MeSH
Related in: MedlinePlus