PMID: 3383658Jul 1, 1988Paper

Myocardial contusion in patients with blunt chest trauma as evaluated by thallium 201 myocardial scintigraphy

Chest
L BodinP Viars

Abstract

Fifty five patients suffering from blunt chest trauma were studied to assess the diagnosis of myocardial contusion using thallium 201 myocardial scintigraphy. Thirty-eight patients had consistent scintigraphic defects and were considered to have a myocardial contusion. All patients with scintigraphic defects had paroxysmal arrhythmias and/or ECG abnormalities. Of 38 patients, 32 had localized ST-T segment abnormalities; 29, ST-T segment abnormalities suggesting involvement of the same cardiac area as scintigraphic defects; 21, echocardiographic abnormalities. Sixteen patients had segmental hypokinesia involving the same cardiac area as the scintigraphic defects. Fifteen patients had clinical signs suggestive of myocardial contusion and scintigraphic defects. Almost 70 percent of patients with blunt chest trauma had scintigraphic defects related to areas of myocardial contusion. When thallium 201 myocardial scintigraphy directly showed myocardial lesion, two-dimensional echocardiography and standard ECG detected related functional consequences of cardiac trauma.

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Citations

May 15, 2007·The Journal of Trauma·Rovshan M IsmailovHank B Weiss
Feb 1, 1997·Chest·M FerjaniP Coriat
Dec 1, 1995·Chest·N T Feghali, L M Prisant
May 25, 2010·The Annals of Thoracic Surgery·Joerg LindenmannFreyja-Maria Smolle-Juettner
Jul 24, 2012·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Saurabh ThakarJacob Shani
Dec 1, 1989·American Journal of Surgery·B T BaxterL A Ammons
Sep 1, 1990·The Journal of Emergency Medicine·J G NirgiotisM S Sweeney
Nov 24, 1988·The New England Journal of Medicine·U SpecksR A DeRemee
Dec 17, 2013·Acute Medicine & Surgery·Miki MorikawaAkio Kimura
Jan 27, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Esther M M Van LieshoutEric A Dubois

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