Jay A. Montgomery, MD, Dan M. Roden, MD, FHRS HeartRhythm Case Reports

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Presentation transcript:

Commotio cordis due to high-velocity projectile ejected from an industrial lawnmower Jay A. Montgomery, MD, Dan M. Roden, MD, FHRS HeartRhythm Case Reports Volume 1, Issue 4, Pages 172-175 (July 2015) DOI: 10.1016/j.hrcr.2015.01.014 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 A severe contusion was noted over the precordium upon presentation to the emergency department, 45 minutes after the initial injury. The lacrosse ball is also shown. HeartRhythm Case Reports 2015 1, 172-175DOI: (10.1016/j.hrcr.2015.01.014) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 The presenting electrocardiogram showed sinus rhythm with a broad atypical right bundle branch block and downsloping ST segment in lead V1, which initially raised concern for Brugada syndrome. HeartRhythm Case Reports 2015 1, 172-175DOI: (10.1016/j.hrcr.2015.01.014) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 On hospital day 4, the electrocardiogram had nearly normalized but had a persistent rSr′ pattern with mild residual ST-segment elevation in lead V1. HeartRhythm Case Reports 2015 1, 172-175DOI: (10.1016/j.hrcr.2015.01.014) Copyright © 2015 Heart Rhythm Society Terms and Conditions

HeartRhythm Case Reports 2015 1, 172-175DOI: (10. 1016/j. hrcr. 2015 Copyright © 2015 Heart Rhythm Society Terms and Conditions