The Paradox of Hypertension; a pellet in hypertrophic myocardium

Abstract

In general, because hypertension is an important risk factor for cardiovascular disorders blood pressure should be adequately controlled. However, paradoxically, untreated hypertension revealed unexpected result in a patient of gunshot wound. A pellet embedded in the left ventricular myocardium did not cause to deteriorate any clinical course and after 1 week, any change in location of the pellet was not noticed on follow-up echocardiography. Herein we report a patient with a retained pellet in the heart who was discharged from hospital without operative therapy.