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(Chest. 1974;66:195-197.)
© 1974 American College of Chest Physicians

Bifascicular Block Due to Penetrating Wound of the Heart: Electrophysiology Studies

Ruben Chuquimia M.D.1; T. Srinavasa Ramadurai M.D.2; William Towne M.D.3; and Kenneth Rosen M.D., F.C.C.P.4

1 Director, Intensive Coronary Care Unit, Department of Adult Cardiology, Cook County Hospital; Associate in Medicine, Abraham Lincoln School of Medicine, University of Illinois
2 Department of Adult Cardiology, Cook County Hospital
3 Chairman, Department of Adult Cardiology, Cook County Hospital
4 Chief, Section of Cardiology and Professor of Medicine, Abraham Lincoln School of Medicine, University of Illinois, College of Medicine

A patient with bifascicular block (right-bundle-branch-block and left anterior hemiblock) secondary to a gunshot wound of the heart is presented. His bundle recordings revealed a normal H-V interval, suggesting that the remaining functioning fascicle (left posterior) was not involved. We believe this to be the first reported case of bifascicular block secondary to pentrating trauma.






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