Blunt Myocardial Injury

Feghali, Nassif T.; Lm, Prisant

doi:10.1378/chest.108.6.1673

Cited by 66 publications

(54 citation statements)

References 30 publications

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“…[3,5] Conversely, the incidence of cardiac injury after blunt chest trauma is difficult to determine, but ranges from 8% to 76%. [6] This wide range is mainly due to the variation in diagnostic criteria used and the fact that there is no gold standard test for the diagnosis. Although CT and echocardiography are both widely used modalities in the emergency unit, the clinical presentation of patients and hemodynamic instability on hospital admission may affect the calculation of the exact ratio of such injuries.…”

Section: Resultsmentioning

confidence: 99%

Cardiac and great vessel injuries after chest trauma: our 10-year experience

Onan¹,

Demirhan²,

Öz³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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Section: Resultsmentioning

confidence: 99%

Cardiac and great vessel injuries after chest trauma: our 10-year experience

Onan¹,

Demirhan²,

Öz³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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“…muffl ed heart tones, jugular venous distension (JVD) and hypotension) and haemodynamic shock due to rapid exsanguinations. The most common symptom is non-specifi c chest pain arising from non-cardiac chest structures [14]. BCIs are result of high-velocity impact blunt injuries, which invariably gives wounds to thoracic cage.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…As shown in Fig. 2, in young haemodynamically stable patient, a normal ECG precludes the need for further evaluation to detect BCI [14,20,25,38]. However, a small number of patients with a normal ECG can encounter cardiac complications related to BCI [38].…”

Section: Electrocardiograph (Ecg)mentioning

confidence: 99%

“…Since, there is a higher likelihood of injury of the right ventricle and the right ventricle has a lower mass relative to the left ventricle, the scintigraphic detection of right ventricular necrosis is diffi cult [14]. 201-thallium SPECT is more precise in the detection and localisation of small transmural and non-transmural defects of the left ventricular wall [62].…”

Section: Myocardial Perfusion Scintigraphymentioning

confidence: 99%

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Challenges in the diagnosis of blunt cardiac injuries

Agarwal

Chandra

2009

Indian J Surg

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“…Günümüzde künt kalp yaralanmalarının %80'i yüksek enerjili motorlu taşıt kazaları sebebiyle meydana gelmektedir (9). Künt kalp yaralanmaları özellikle göğüs travmaları sonrasında %5-%50 oranında bildirilmiştir (10,11).…”

Section: Introductionunclassified

Isolated Cardiac Trauma and Anesthesia Management

Gümüş¹,

Alagöl²

2012

JAREM

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ÖZETGeçmişte kesici-delici aletlere bağlı travmalar sık görülürken, günümüzde endüstriyel gelişme, sosyokültürel farklılaşma, sosyoekonomik sorunlarla birlikte toplumsal şiddet eğiliminin artışı gibi sebeplerle, ateşli silah yaralanmaları ve yüksek hızlı trafik kazalarına bağlı kalp travmalarının insidansında ciddi ve progresif bir artış söz konusudur. Toraksa yönelik travmalarda kardiyak yaralanma oranı %10 iken, kardiyak yaralanmalar, tüm toraks yaralanmaları nedeniyle oluşan ölümlerin %40'ından sorumludur. Kardiyak yaralanmalar kalbin herhangi bir bölümünde olabilir ve meydana geliş biçimine göre künt, penetran ve iyatrojenik olarak sınıflandırılmaktadır. Penetran kardiyak travmalar daha az sıklıkta görülmesine rağmen hızlı tanı ve tedavi gerektirdiği için ayrı bir öneme sahiptir. Acil servise getirilen penetran veya künt kardiyak yaralanmalarda klinik tablo miyokard kontüzyonundan, kardiyak rüptüre kadar giden geniş bir biçimde karşımıza çıkabilir. Olgular hiçbir yaşam belirtisi göstermeyecekleri gibi, agonal, hipotansif veya nispeten stabil olabilirler. Penetran ve künt kardiyak yaralanmalarda ölüm çoğunlukla hastaneye ulaşmadan meydana gelir. Değişen klinik spektrumlarda karşılaştığımız penetran veya künt kardiyak yaralanmaya maruz kalmış olgularda hızlı klinik değerlendirme ve uygun sistemik perfüzyonun sağlanabilmesi önemlidir. Multidisipliner yaklaşım gerektiren kardiyak yaralanma olgularında, tanı ve tedaviye gidiş yolunda anesteziyolog, havayolu güvenliği, yeterli ventilasyon ve oksijenasyonun sağlanması, gerekli volüm replasmanı ile dolaşımın sağlanması ve devamında anahtar rolü üstlenmektedir. (JAREM 2012; 2: 20-3) Anahtar Sözcükler: Kardiyak travma, anestezi, penetran kardiyak yaralanmalar, künt kardiyak yaralanmalar, tamponad, ekokardiyografi ABSTRACT In the past, penetrating trauma were seen more frequently. However, due to the increasing social violence as a result of industrial development, sociocultural differentiation and problems have caused significant and progressive increases in gun-shot wounds and high-energy traffic accidents. Cardiac trauma constitute 10% of all thoracic trauma; however, they are responsible for 40% of mortality in these cases. Cardiac traumas may occur in any part of the heart and they are classified as blunt, penetrating and iatrogenic, according to the occurrence of the trauma. Penetrating trauma are less frequent but they are significant as they require prompt diagnosis and treatment. The clinical picture of the blunt or penetrating cardiac trauma admitted to the emergency unit includes a wide spectrum, ranging from myocardial contusion to cardiac rupture. Cases may have no signs of life or may be agonal, hypotensive or relatively stable. Mortality due to penetrating or blunt cardiac trauma usually occurs before the patients are admitted to a hospital. Prompt clinical evaluation and appropriate systemic perfusion must be ensured in this variable clinical spectrum of patients that have cardiac trauma. Cardiac trauma cases require a multidisciplinary approach and i...

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Blunt Myocardial Injury

Cited by 66 publications

References 30 publications

Cardiac and great vessel injuries after chest trauma: our 10-year experience

Cardiac and great vessel injuries after chest trauma: our 10-year experience

Challenges in the diagnosis of blunt cardiac injuries

Isolated Cardiac Trauma and Anesthesia Management

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