Diagnosing Myocardial Contusion after Blunt Chest Trauma

Journal of Tehran University Heart Center

卷:11

Masih Shafa¹  Zahra Alborzi²  Vahid Zangouri³  Shahin Khodaei³  Bizhan Ziaeian⁴  Mohammad Reza Radpey⁵  Shahram Paydar⁶  Zahra Ghahramani⁶  Armin Amirian⁶ 

[1] Department of Cardiac Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.;

[2] Department of Cardiology, Medical School, Yasouj University of Medical Sciences, Yasouj, Iran.;

[3] Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.;

[4] Department of Thoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.;

[5] Department of Vascular Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.;

[6] Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.;

关键词: Thoracic injuries • Contusion • Diagnose;   

DOI  :  

来源: DOAJ

【 摘 要 】

A myocardial contusion refers to a bruise of the cardiac muscle, the severity of which can vary depending on the severity of the injury and when the injury occurs. It is a major cause of rapid death which happens after blunt chest trauma and should be suspected at triage in the emergency department. We demonstrated that suspected myocardial contusion patients who have normal electrocardiograms (ECGs) and biomarker tests can be safely discharged. However, if the test results are abnormal, the next steps should be echocardiography and more advanced measures. Diagnosing myocardial contusion is very difficult because of its nonspecific symptoms. If a myocardial contusion happens, cardiogenic shock or arrhythmia must be anticipated, and the patient must be carefully monitored.

【 授权许可】

Unknown