Immediate and persistent complete heart block following a horse kick.
Abstract: Nonpenetrating chest trauma has been reported to cause acute and transient disorders of impulse formation and propagation, including intraventricular conduction delay and heart block. We report a case of immediate and sustained complete heart block following blunt chest injury.
Publication Date: 1999-06-03 PubMed ID: 10353144DOI: 10.1111/j.1540-8159.1999.tb00549.xGoogle Scholar: Lookup
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Summary
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The research article discusses a rare case where a patient develops an immediate and persistent complete heart block after enduring a nonpenetrating blunt chest trauma caused by a horse kick.
Nonpenetrating Chest Trauma and Its Effects
- The report highlights how nonpenetrating chest trauma can lead to acute and transient disorders. This means the patient can experience sudden, severe symptoms which may only last a short period of time, or can continue persistently.
- These disorders affect the formation and propagation of impulses within the heart. This means the trauma can disrupt the normal electrical functions which control the heart rhythms.
- Specifically, such trauma can cause problems like intraventricular conduction delay and heart block. Intraventricular conduction delay refers to delay in the electrical impulses that control the heart’s ventricular contractions. Heart block refers to a condition where the heart’s electrical signals are partially or completely blocked, disrupting normal heart rhythm and potentially causing slower heart rates.
Case Study: Complete Heart Block Post Trauma
- The focus of the study is a particular case where a patient experienced a horse kick to the chest. This resulted in a blunt, nonpenetrating chest injury.
- Following the injury, it was observed that the patient developed immediate and sustained complete heart block. This means the heart’s electrical signalling was fully blocked from the upper chambers (the atria) to the lower chambers (the ventricles) and this condition did not resolve over time.
- The novelty and significance of this case stems from the rarity of an immediate and persistent complete heart block resulting from a blunt chest trauma, and highlights the life threatening risks associated with such injuries.
Cite This Article
APA
Benitez RM, Gold MR.
(1999).
Immediate and persistent complete heart block following a horse kick.
Pacing Clin Electrophysiol, 22(5), 816-818.
https://doi.org/10.1111/j.1540-8159.1999.tb00549.x Publication
Researcher Affiliations
- Division of Cardiology, University of Maryland School of Medicine, Baltimore 21201, USA. MBenitez@heart.ab.umd.edu
MeSH Terms
- Animals
- Cardiac Pacing, Artificial
- Electrocardiography
- Follow-Up Studies
- Heart Block / etiology
- Heart Block / physiopathology
- Heart Block / therapy
- Heart Rate
- Hoof and Claw
- Horses
- Humans
- Male
- Middle Aged
- Thoracic Injuries / complications
- Wounds, Nonpenetrating / complications
Citations
This article has been cited 9 times.- Ahmed M, Saeed R, Abdulsalam M, Johna S, Elias D. Horse Kick to the Abdomen Causing a Triad of Injury: A Case Report.. Cureus 2019 Oct 1;11(10):e5821.
- Kokubun T, Oikawa M, Ichijo Y, Matsumoto Y, Yokokawa T, Nakazato K, Sato Y, Takase S, Shinjo H, Yokoyama H, Suzuki H, Saitoh SI, Takeishi Y. Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick.. Intern Med 2018 Jun 1;57(11):1597-1600.
- Oode Y, Maruyama T, Kimura M, Fukunaga T, Omori K, Yanagawa Y. Horse kick injury mimicking a handle bar injury or a hidden speared injury.. Acute Med Surg 2016 Jan;3(1):3-9.
- Ismailov RM. Trauma Associated with Cardiac Conduction Abnormalities: Population-Based Perspective, Mechanism and Review of Literature.. Eur J Trauma Emerg Surg 2010 Jun;36(3):227-32.
- Morsy M, Efeovbokhan N, Jha SK. Complete heart block and asystole following blunt cardiac trauma.. J Community Hosp Intern Med Perspect 2015;5(5):28423.
- Surani S, Allen K, Ocegueda-Pacheco C, Varon J. Atrioventricular Dissociation following Blunt Chest Trauma.. Case Rep Med 2014;2014:349652.
- Wang NC. Third-degree atrioventricular block following commotio cordis.. Ann Noninvasive Electrocardiol 2013 Sep;18(5):491.
- Williams JC, Elkington WC. Slow progressing cardiac complications-a case report.. J Chiropr Med 2008 Mar;7(1):28-33.
- Udink ten Cate FE, van Heerde M, Rammeloo LA, Hruda J. Transient electrocardiographic abnormalities following blunt chest trauma in a child.. Eur J Pediatr 2008 Nov;167(11):1331-3.
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