Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20089
  Title Slow progressing cardiac complications—a case report
URL http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=2647102&blobtype=pdf
Journal J Chiropr Med. 2008 Mar;7(1):28-33
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: This case presentation describes an uncommon development of complete heart block. Within 48 hours after a motor vehicle accident with the deployment of the air bag against the patient's chest, the patient reported exertional bradycardia and shortness of breath.

Clinical Features: A 51-year-old man was in a motor vehicle accident. After the collision, he noticed a slow onset of chest discomfort with exertion and bradycardia. The patient experienced cardiac difficulty during a stress electrocardiogram. During the 4 months after the motor vehicle accident, symptoms progressed; and a diagnosis of vagal sympathetic reflex was suggested.

Intervention and Outcome: A pacemaker was finally required because of the ventricular pacing of 35 to 40 beats per minute, which was symptomatic of a complete atrioventricular block.

Conclusion: A gradual progression to complete atrioventricular block over a period longer than 3 weeks is unusual. This case demonstrates that a patient manifesting exertional bradycardia and shortness of breath shortly after chest trauma should be regularly monitored until all symptoms are resolved.

This abstract is reproduced with the permission of the publisher. Free full text is available through PubMed Central; click on the above link.
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