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5) Myocardial contusion (edema and hemorrhage in the myocardium) which may result in dysrhythmias, blocks (especially RBBB as here), and poor cardiac contractility, including wall motion abnormalities. No further ECG, troponin, or echocardiogram was done because she was asymptomatic, and had a normal rhythm and rate.
In this pediatric study, it was 71% successful and better than amiodarone. I have ordered an echocardiogram which will be done today, after that patient can be discharged to home with follow-up in 2 to 3 months." Procainamide is another reasonable solution to the problem. The echo was normal. Learning points 1.
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Echocardiogram 
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