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Case Reports in Medicine
Volume 2014, Article ID 349652, 3 pages
http://dx.doi.org/10.1155/2014/349652
Case Report

Atrioventricular Dissociation following Blunt Chest Trauma

1Texas A&M University, Texas Corpus Christi, 1177 West Wheeler Avenue, Suite 1, Aransas Pass, TX 78336, USA
2Bay Area Medical Center, University of North Texas, 7101 S Padre Island Dr, Corpus Christi, TX 78412, USA
3Hospital Zambrano Monterrey, San Patricio 112, Real San Agustin, 66278 San Pedro Garza Garcia, NL, Mexico
4The University of Texas Health Science Center, University General Hospital, 7501 Fannin Street, Houston, TX 77054, USA

Received 6 February 2014; Accepted 6 March 2014; Published 27 March 2014

Academic Editor: Michael S. Firstenberg

Copyright © 2014 Salim Surani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Blunt chest trauma (BCT) is a common clinical presentation seen in emergency departments. Few cases of cardiac conduction abnormalities due to BCT have been reported in the medical literature. This dysrhythmias may present as permanent conduction defects requiring permanent pacemaker or may have temporary conduction abnormalities requiring temporary pacemaker or supportive care. We present the case of a young woman who suffered from BCT after being kicked by a horse with the development of a significant substernal hematoma. She developed temporary atrioventricular block, which was completely resolved with the decrease in the size of the substernal hematoma suffered.