Transient complete right bundle branch block due to lung contusion: case report

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2024-03-21 DOI:10.33706/jemcr.1410026
N. Kozaci, İsmail Erkan Aydin, Durmus Ali Ersahi̇n, Yavuz Yüksel
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Abstract

Introduction: Right bundle branch block (RBBB) may occur in lung diseases and cardiovascular diseases. Case Report: A 25-year-old male patient was admitted to emergency department after a motorcycle accident. Contusion was detected in bilateral lungs, and pneumothorax with laceration were detected in the right lung. ECG revealed 103 bpm, right axis deviation, and complete RBBB. ECG revealed 83 bpm, complete RBBB continued at the 6th hour after tube thoracostomy, and high sensitive TnI was normal. Chest X-ray was normal on the 4th day of hospitalization, and ECG revealed 74 bpm, normal sinus rhythm. Conclusion: In thoracic trauma, ECG changes may develop as a result of lung contusion. ECG findings improve as the lung contusion heals.
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肺挫伤导致的一过性完全性右束支传导阻滞:病例报告
引言右束支传导阻滞(RBBB)可能发生在肺部疾病和心血管疾病中。病例报告:一名 25 岁的男性患者因摩托车事故被送入急诊科。双肺挫伤,右肺气胸伴撕裂伤。心电图显示 103 bpm、右轴偏离和完全性 RBBB。插管胸腔造口术后第 6 小时,心电图显示 83 bpm,完全性 RBBB 仍在继续,高敏 TnI 正常。住院第 4 天,胸部 X 光片正常,心电图显示为 74 bpm,窦性心律正常。结论在胸部创伤中,肺挫伤可能导致心电图改变。随着肺挫伤的愈合,心电图结果会有所改善。
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