PMID: 11901323Mar 20, 2002Paper

Acute and long-term clinical significance of myocardial contusion following blunt thoracic trauma: results of a prospective study

The Journal of Trauma
Michael LindstaedtJuergen Barmeyer

Abstract

The clinical significance of myocardial contusion (MC) following blunt thoracic trauma is still unknown. Accordingly, in this prospective study in a regional trauma center we investigated the acute and long-term clinical significance of MC. One-hundred eighteen patients with manifest or suspected blunt thoracic trauma were evaluated for cardiac injury. Initial assessment was based on results of electrocardiographic, echocardiographic, and serial enzyme measurements. A follow-up (FU) assessment conducted at 3 and 12 months, respectively, was performed using electrocardiography, echocardiography, and a bicycle ergometry exercise test. Of the 118 patients in the total sample, 67 (56.8%) required admission to the surgical intensive care unit (SICU) because of the severity of their noncardiac injuries. Fourteen patients of the total sample (11.8%) were diagnosed with MC and 13 of these (92.9%) belonged to the intensive care admissions, thus representing an incidence of 19.4% in this patient group. During the hospitalization period none of the patients with MC experienced acute cardiac complications. Eighty-six patients (72.0%) were assessed at FU. No new pathologies were found except in one patient. Exercise testing revealed no ECG ...Continue Reading

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Citations

Sep 11, 2004·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Valentina BernardisRoberta Coassin
Nov 9, 2006·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·María S HolandaJuan C Rodríguez-Borregán
Jan 12, 2008·The Journal of Trauma·Ali SalimDemetrios Demetriades
Nov 3, 2011·Emergency Medicine International·Rathachai KaewlaiRobert A Novelline
Nov 3, 2007·Current Opinion in Critical Care·Marius Keel, Christoph Meier
Oct 1, 2010·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mucahit EmetHamit Acemoglu
Apr 1, 2014·The Canadian Journal of Cardiology·Rami N KhouzamAdam Mizeracki
Nov 26, 2013·Pediatric Clinics of North America·Peep Talving, Demetrios Demetriades
Oct 30, 2012·Cardiology Clinics·Jeremy S Bock, R Michael Benitez
Mar 31, 2009·The American Journal of Emergency Medicine·Sarah Barker, Chris Ghaemmaghami
Apr 19, 2008·Seminars in Thoracic and Cardiovascular Surgery·Michael J Weyant, David A Fullerton
Sep 11, 2007·Emergency Medicine Clinics of North America·Daniel McGillicuddy, Peter Rosen
Sep 14, 2013·Journal of Veterinary Emergency and Critical Care·Sarah T PetersCristobal Navas de Solis
Apr 21, 2004·Current Problems in Surgery·Riyad Karmy-Jones, Gregory J Jurkovich
Jul 21, 2005·The American Journal of Emergency Medicine·Claire U PlautzWilliam J Brady
Aug 11, 2004·Emergency Medicine Clinics of North America·Diku P Mandavia, Anthony Joseph
Aug 1, 2015·Emergency Medicine Clinics of North America·Evie G Marcolini, Joshua Keegan
May 17, 2006·Angiology·Yuichiro KashimaKazufumi Okamoto

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