Understanding traumatic blunt cardiac injury

El‐Menyar, Ayman; Thani, Hassan Al; Zarour, Ahmad; Latifi, Rifat

doi:10.4103/0971-9784.101875

Cited by 30 publications

(31 citation statements)

References 41 publications

(83 reference statements)

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“…Blunt cardiac injury is generally diagnosed while considering the results of different tests; however, its rupture must be diagnosed as soon as possible. In particular, blunt cardiac rupture is rare, except in high‐energy trauma cases . Therefore, diagnosis was challenging in the present case, highlighting the fact that trauma severity does not necessarily indicate the degree of blunt cardiac injury.…”

Section: Question: Can You Imagine Cardiac Rupture Without Apparent Tmentioning

confidence: 79%

“…In particular, blunt cardiac rupture is rare, except in high-energy trauma cases. 1 Therefore, diagnosis was challenging in the present case, highlighting the fact that trauma severity does not necessarily indicate the degree of blunt cardiac injury. In our case, two possible mechanisms of right ventricular rupture were suspected, which was caused by compression between the sternum or the costal cartilages and spine, or by significant elevation of venous pressure by an intensive blow to thorax on squatting during playing.…”

Section: Imagine Cardiac Rupture Without Apparent Trauma?mentioning

confidence: 80%

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Blunt cardiac rupture due to kicking on the lateral side of the right chest

Akishima

Takeyasu

2019

Clinical Case Reports

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Section: Question: Can You Imagine Cardiac Rupture Without Apparent Tmentioning

confidence: 79%

Section: Imagine Cardiac Rupture Without Apparent Trauma?mentioning

confidence: 80%

Blunt cardiac rupture due to kicking on the lateral side of the right chest

Akishima

Takeyasu

2019

Clinical Case Reports

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“…The management and outcome of TCI are often dictated by the mechanism of injury, hemodynamic status and clinical features 20 . Patients with BCI without features of cardiac tamponade and with minimal hemopericardium on CT scan may be treated nonoperatively by doing serial physical examination and echocardiography 21 . PCI patients often require surgery 12, 17.…”

Section: Discussionmentioning

confidence: 99%

Traumatic cardiac injury: Experience from a level-1 trauma centre

Mishra

Gupta

Sagar

et al. 2016

Chinese Journal of Traumatology

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PurposeTraumatic cardiac injury (TCI) is a challenge for trauma surgeons as it provides a short therapeutic window and the management is often dictated by the underlying mechanism and hemodynamic status. The current study is to evaluate the factors influencing the outcome of TCI.MethodsProspectively maintained database of TCI cases admitted at a Level-1 trauma center from July 2008 to June 2013 was retrospectively analyzed. Hospital records were reviewed and statistical analysis was performed using the SPSS version 15.ResultsOut of 21 cases of TCI, 6 (28.6%) had isolated and 15 (71.4%) had associated injuries. Ratio between blunt and penetrating injuries was 2:1 with male preponderance. Mean ISS was 31.95. Thirteen patients (62%) presented with features suggestive of shock. Cardiac tamponade was present in 12 (57%) cases and pericardiocentesis was done in only 6 cases of them. Overall 19 patients underwent surgery. Perioperatively 8 (38.1%) patients developed cardiac arrest and 7 developed cardiac arrhythmia. Overall survival rate was 71.4%. Mortality was related to cardiac arrest (p = 0.014), arrhythmia (p = 0.014), and hemorrhagic shock (p = 0.04). The diagnostic accuracy of focused assessment by sonography in trauma (FAST) was 95.24%.ConclusionHigh index of clinical suspicion based on the mechanism of injury, meticulous examination by FAST and early intervention could improve the overall outcome.

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“…The results of our study were similar to the results in literature. The incidence of cardiac injury resulting from blunt chest trauma in literature varies between 8% and 76% [10]. The incidence of cardiac injury was 50% in Skinner et al’s study [9].…”

Section: Discussionmentioning

confidence: 99%

Role of H-FABP values in determining the etiologic factors of the cardiac injuries

Akpinar¹,

Duman²,

Gülen³

et al. 2017

Pan Afr Med J

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IntroductionCardiac injury resulting from blunt thoracic trauma is a frequent clinical occurrence which is difficult to diagnose. Our purpose in this study was to research whether H-FABP, which is a new marker for the diagnosis of cardiac injury, can be used in this patient group.Methods50 patients with blunt thoracic injury who were admitted to our emergency service within a period of 8 months and 50 cases as controls were included in our study.ResultsOf the 50 patients with blunt thoracic injury in our study, 88% were male while 12% were female. The average age of the patients was 43 ± 15.15. While 27 (54%) of the 50 patients with blunt thoracic injury had cardiac injury, 23 (46%) did not have cardiac injury. The results of the statistical analyses showed a significant association between thorax trauma and cTnI, CPK, CPKMB and H-FABP (p<0.05). While there was a significant association between cardiac injury resulting from thoracic trauma and cTnI, ECG and TTE (p<0.05), there was no significant association between CPK, CPKMB and H-FABP (p>0.05).ConclusionIn thoracic traumas, cardiac injury diagnosis can be made as a result of the assessment with Troponin-I, ECG and ECHO. For cardiac injury diagnosis, wide scale prospective studies are needed for H-FABP use.

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Understanding traumatic blunt cardiac injury

Cited by 30 publications

References 41 publications

Blunt cardiac rupture due to kicking on the lateral side of the right chest

Blunt cardiac rupture due to kicking on the lateral side of the right chest

Traumatic cardiac injury: Experience from a level-1 trauma centre

Role of H-FABP values in determining the etiologic factors of the cardiac injuries

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