Myocardial Contusion

DeMuth, William E.

doi:10.1001/archinte.1965.03860160060010

Cited by 44 publications

(3 citation statements)

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“…Cardiac injury has also been estimated to represent the most common unsuspected visceral injury responsible for death in fatally injured accident victims [20]. Furthermore, cardiac contusions are among the most frequently missed or delayed diagnoses in injured patients admitted to the hospital [9,13]. Data from our study indicate that although myocardial contusion is now being recognized more often, the diagnosis is still frequently delayed for more than 48 hours following injury in a significant number of patients.…”

Section: Discussionmentioning

confidence: 77%

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The Incidence of Myocardial Contusion in 160 Patients with Blunt Chest Trauma

Boeken

Feindt

Gramsch-Zabel

et al. 2000

European Journal of Trauma

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The incidence of myocardial contusion after blunt chest trauma has been reported in 8.2 to 75% of trauma patients. We performed this study to report on the incidence of myocardial contusion in order to determine the frequency and to describe the type of complications in these patients.We conducted a retrospective analysis over a period of 4 years. There were 160 patients with a blunt chest trauma which were admitted to our hospital.Myocardial contusion occurred in 27 of our patients with blunt chest trauma (16.9%). In all these patients typical ECG-changes could be found during hospitalization (100%). The incidence of further pathological findings in the 27 patients was 30% for the auscultation, 37% for cardiac enzymes (MB-fraction), and 41% for the echocardiography. Cardiac complications like arrhythmias, cardiac failure and tamponade occurred in 20 patients (74%).Early diagnosis of myocardial contusion in patients with blunt chest trauma is important to prevent and to treat possible complications. ECG-controls have the highest sensitivity to detect a myocardial contusion, whereas cardiac enzymes and echocardiograms seem to be poor markers of blunt myocardial injury.

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Section: Discussionmentioning

confidence: 77%

“…Associated non-thoracic injuries also occurred, especially injuries to the abdomen, pelvis and cranium. The injury severity score (ISS, based on the Abbreviated Injury Scale) was 32.3 ± 11.8 in these 27 patients [13], compared to 31.4 ± 10.9 in the 133 patients without myocardial contusion.…”

Section: Resultsmentioning

confidence: 96%

The Incidence of Myocardial Contusion in 160 Patients with Blunt Chest Trauma

Boeken

Feindt

Gramsch-Zabel

et al. 2000

European Journal of Trauma

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“…Προκαλείται ταχυκαρδία καί ενίοτε εμφανίζονται δυσρυθμίαι, άλλ' ό κυριώτερος κίνδυνος τής θλάσεως του μυοκαρδίου συνίσταται εις τήν καθυστερημένην ρήξιν. Είς εν τέταρτον περίπου των περιπτώσεων δεν υπάρχουν άμεσα συμπτώματα 15 , άλλα ταύτα εμφανίζονται με καθ υστέρησιν μέχρι καί ενός μηνός. Δια τον λόγον αυτόν δλοι οί ασθενείς μέ θλάσιν του μυοκαρδίου πρέπει νά παραμένουν κλινήρεις επί 4 έβδο-;μάδας.…”

Section: βλάβαιunclassified

Κλινικη Ακτινολογικη Και Ηλεκτροκαρδιογραφικη Μελετη Των Τραυματικων Καρδιοπαθειων

Παπαδημητριου¹

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Ventricular septal defect following blunt trauma: Spontaneous closure of residual defect after surgical repair

Krajcer

Cooley

Leachman

1977

Cathet. Cardiovasc. Diagn.

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As a result of blunt chest trauma a patient developed a large ventricular septal defect (VSD). After surgical closure of the defect a grade 2/6 systolic murmur persisted. One year later findings were the same and left ventriculogram revealed a small residual VSD. Two years after the operation the systolic murmur had disappeared. We postulate that gradual endothelialization and possibly small thrombi (formed around and over the Dacron patch graft) caused the defect to close. This case serves to illustrate some of the Dacron patch graft) caused the defect to close. This case serves to illustrate some of the complexities in the diagnosis and management of an acquired VSD. To our knowledge this is the first reported spontaneous closure of a VSD occurring after incomplete surgical repair.

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Myocardial Contusion

Cited by 44 publications

References 0 publications

The Incidence of Myocardial Contusion in 160 Patients with Blunt Chest Trauma

The Incidence of Myocardial Contusion in 160 Patients with Blunt Chest Trauma

Κλινικη Ακτινολογικη Και Ηλεκτροκαρδιογραφικη Μελετη Των Τραυματικων Καρδιοπαθειων

Ventricular septal defect following blunt trauma: Spontaneous closure of residual defect after surgical repair

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