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Injury Nov 1996
Review
Topics: Contusions; Heart Injuries; Humans; Prognosis
PubMed: 9039354
DOI: 10.1016/s0020-1383(96)00120-9 -
The Journal of Tehran Heart Center Apr 2016A myocardial contusion refers to a bruise of the cardiac muscle, the severity of which can vary depending on the severity of the injury and when the injury occurs. It is... (Review)
Review
A myocardial contusion refers to a bruise of the cardiac muscle, the severity of which can vary depending on the severity of the injury and when the injury occurs. It is a major cause of rapid death which happens after blunt chest trauma and should be suspected at triage in the emergency department. We demonstrated that suspected myocardial contusion patients who have normal electrocardiograms (ECGs) and biomarker tests can be safely discharged. However, if the test results are abnormal, the next steps should be echocardiography and more advanced measures. Diagnosing myocardial contusion is very difficult because of its nonspecific symptoms. If a myocardial contusion happens, cardiogenic shock or arrhythmia must be anticipated, and the patient must be carefully monitored.
PubMed: 27928254
DOI: No ID Found -
JAMA May 1965
Topics: Contusions; Heart Injuries; Humans
PubMed: 14284853
DOI: No ID Found -
BMJ Case Reports Jan 2024Myocardial contusion should be suspected in a selected patient group with blunt thoracic trauma, who have elevated troponin, ECG changes and/or haemodynamical...
Myocardial contusion should be suspected in a selected patient group with blunt thoracic trauma, who have elevated troponin, ECG changes and/or haemodynamical instability. Echocardiography is useful for direct visualisation of possible complications. In stable conditions, MRI allows for good visualisation of the heart and can confirm a suspected myocardial contusion as well as demonstrate the extent of myocardial damage. Based on the present literature, the authors developed a diagram for the diagnostic approach of a patient with suspected myocardial contusion.
Topics: Humans; Heart Injuries; Myocardial Contusions; Troponin; Echocardiography; Wounds, Nonpenetrating; Thoracic Injuries; Contusions; Electrocardiography
PubMed: 38272515
DOI: 10.1136/bcr-2023-257082 -
Emergency Medicine Journal : EMJ Jul 2005Myocardial contusion injury (MCI) is a complication of blunt thoracic trauma, which may occur at relatively low velocities. MCI may also occur from chest compressions... (Review)
Review
Myocardial contusion injury (MCI) is a complication of blunt thoracic trauma, which may occur at relatively low velocities. MCI may also occur from chest compressions during cardiopulmonary resuscitation. We review the clinical pathology, diagnostic tools, and treatment for MCI.
Topics: Algorithms; Clinical Enzyme Tests; Contusions; Electrocardiography; Heart Injuries; Humans
PubMed: 15983078
DOI: 10.1136/emj.2004.015339 -
Critical Care and Resuscitation :... Mar 2005To utilise an evidence-based strategy to answer two clinical questions regarding myocardial contusion - How is the diagnosis made and how long does a patient require...
OBJECTIVE
To utilise an evidence-based strategy to answer two clinical questions regarding myocardial contusion - How is the diagnosis made and how long does a patient require cardiac monitoring?
METHODS
Pubmed search using appropriate MeSH terminology then selection of abstracts using a predetermined criteria.
RESULTS
One meta-analysis, five descriptive reviews and thirty-two other articles were selected for detailed review.
CONCLUSION
Myocardial contusion is an ill-defined term for traumatic cardiac injury. "Significant blunt chest trauma" appears to be a more useful term. Normal serially performed electrocardiograms and troponin I assays over 8 hours appear to exclude this condition. When complications occur, the onset is usually within 48 hours of injury. Monitoring of patients with abnormal ECG's or troponins for at least 48 hours post injury would therefore be prudent.
PubMed: 16548816
DOI: No ID Found -
Critical Care Nursing Quarterly 2005Deadly Dozen ... Lethal Six ... Hidden Six ... Major thoracic injuries are known as the Deadly Dozen. The Lethal Six (airway obstruction, tension pneumothorax, cardiac... (Review)
Review
Deadly Dozen ... Lethal Six ... Hidden Six ... Major thoracic injuries are known as the Deadly Dozen. The Lethal Six (airway obstruction, tension pneumothorax, cardiac tamponade, open pneumothorax, massive hemothorax, and flail chest) are immediate, life-threatening injuries that require evaluation and treatment during primary survey. The Hidden Six (thoracic aortic disruption, tracheobronchial disruption, myocardial contusion, traumatic diaphragmatic tear, esophageal disruption, and pulmonary contusion) are potentially life-threatening injuries that should be detected during secondary survey. Each of these may present as immediately life-threatening or potentially life-threatening events. This article provides an overview of these 12 injuries and appropriate management for each. Case studies are included.
Topics: Combined Modality Therapy; Contusions; Critical Illness; Emergency Nursing; Female; Flail Chest; Follow-Up Studies; Heart Injuries; Hemothorax; Humans; Injury Severity Score; Male; Multiple Trauma; Pneumothorax; Risk Assessment; Survival Rate; Thoracic Injuries; Trauma Centers
PubMed: 15732422
DOI: 10.1097/00002727-200501000-00004 -
JAMA Oct 1983
Topics: Accidents, Traffic; Contusions; Deceleration; Echocardiography; Electrocardiography; Heart; Heart Injuries; Humans; Radionuclide Imaging; Thoracic Injuries; Wounds, Nonpenetrating
PubMed: 6620528
DOI: No ID Found -
The Journal of Trauma Jul 1985Blunt trauma to the chest and abdomen frequently results in cardiac injury. A wide spectrum of pathology can follow, including myocardial concussion and contusion,... (Review)
Review
Blunt trauma to the chest and abdomen frequently results in cardiac injury. A wide spectrum of pathology can follow, including myocardial concussion and contusion, valvular disruption, and pericardial effusion and tamponade. Likewise, sequelae may be inconsequential or lead to sudden death, and may occur immediately at the time of trauma or be delayed by days to years. Despite the increasingly common occurrence of myocardial contusion there remains much confusion as to how the diagnosis is made. The various diagnostic studies utilized are frequently misinterpreted. The pathophysiology, clinical presentation, and a critical evaluation of the diagnostic tests used in the confirmation of this entity are reviewed, and an approach to the evaluation and management of these patients is presented.
Topics: Animals; Contusions; Creatine Kinase; Diphosphates; Dogs; Echocardiography; Electrocardiography; Heart; Heart Injuries; Humans; Isoenzymes; Radiography; Radionuclide Imaging; Technetium; Technetium Tc 99m Pyrophosphate
PubMed: 2989545
DOI: 10.1097/00005373-198507000-00008 -
Emergency Medicine Journal : EMJ Jan 2002Cardiac contusion is an infrequent but occasionally serious complication of deceleration injury. According to ATLS teaching, the true diagnosis of contusion can only be... (Review)
Review
Cardiac contusion is an infrequent but occasionally serious complication of deceleration injury. According to ATLS teaching, the true diagnosis of contusion can only be established by direct inspection of the myocardium. The clinically important sequelae of myocardial contusion are hypotension and arrhythmia. Despite recent advances in investigative techniques, myocardial trauma remains an important diagnostic and management challenge. This paper presents an evidence-based review of the topic.
Topics: Contusions; Creatine Kinase; Echocardiography, Transesophageal; Electrocardiography; Heart Injuries; Humans; Troponin
PubMed: 11777862
DOI: 10.1136/emj.19.1.8