Harris, Daniel L.; Black, Asher
May 1973
Angiology;May1973, Vol. 24 Issue 5, p316
Academic Journal
Forty-six year old white male who was hospitalized as a result of an automobile accident with extensive facial lacerations, a fracture of the right rib, and costo-chondral fractures of the 2nd and 3rd left interspaces. His electrocardiogram demonstrated �new� left anterior hemiblock. There were two previous electrocardiograms, eight and three months respectively before his accident. The mechanism by which his injury produced left anterior hemiblock is speculative but the possibility of direct myocardial contusion with hemorrhage and/ or necrosis involving the left bundle should be considered. Another possibility perhaps more remote is that of direct traumatic coronary artery injury in the nature of an acute plaque rupture to produce occlusion. Coronary arteriogram was deferred because of the extreme apprehension of the patient and unfortunately was never obtained. His most recent electrocardiogram was October 23, 1972, and the left anterior hemiblock was still present. This case is presented as a probable case of left anterior hemiblock as a result of non-penetrating cardiac trauma.


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