Trauma Associated with Cardiac Conduction Abnormalities: Population-Based Perspective, Mechanism and Review of Literature
| Autor: | Rovshan M. Ismailov |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Sports medicine business.industry Cardiac conduction abnormalities Population Confounding Right bundle branch block Critical Care and Intensive Care Medicine medicine.disease Confidence interval Blunt Internal medicine Anesthesia Cardiac conduction Emergency Medicine Cardiology Medicine Orthopedics and Sports Medicine Surgery business education |
| Zdroj: | European Journal of Trauma and Emergency Surgery. 36:227-232 |
| ISSN: | 1863-9941 1863-9933 |
| Popis: | Various cardiac conduction abnormalities have been described as being a result of trauma in many case reports. The aim of this research was to look at the association between trauma (thoracic and cardiac) and conduction abnormalities in a large hospitalized population. Cases diagnosed with trauma and various cardiac conduction disorders were identified based on ICD-9-CM discharge diagnoses from 986 acute general hospitals across 33 states in 2001. Independent of potential confounding factors, discharge for blunt cardiac injury (BCI) was associated with a threefold increased risk for cardiac conduction abnormalities (95% confidence interval 2.45–4.51) during hospitalization in 2001. Both BCI and thoracic trauma had a significant association with right bundle branch block (RBBB) in this study (OR 6.04; 95% confidence interval (CI) 3.77–9.67 and OR 1.75; 95% CI 1.38–2.23 respectively). The results of this study demonstrate the impact of trauma on cardiac conduction abnormalities. This study represents an attempt to consider a mechanism of a complex traumatic cardiac event from a population-based perspective, and may improve the prognosis for patients diagnosed with cardiac or thoracic injuries. |
| Databáze: | OpenAIRE |
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