Diagnosing Myocardial Contusion after Blunt Chest Trauma

Autor: Zahra Alborzi, Vahid Zangouri, Shahram Paydar, Zahra Ghahramani, Masih Shafa, Bizhan Ziaeian, Mohammad Reza Radpey, Armin Amirian, Shahin Khodaei
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of Tehran University Heart Center, Vol 11, Iss 2 (2016)
Druh dokumentu: article
ISSN: 1735-8620
2008-2371
Popis: 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.
Databáze: Directory of Open Access Journals