Document Detail

Blunt cardiac injury associated with cardiac valve insufficiency: trauma links to chronic disease?
MedLine Citation:
PMID:  16098328     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Cardiac injury has been well recognised as a complication of blunt chest trauma. Its clinical spectrum ranges from blunt cardiac injury (BCI) to complete rupture of cardiac tissues, with cardiac valvular injury often being overlooked. OBJECTIVE: To determine whether hospitalised BCI is associated with increased risk of cardiac valve insufficiency in a large multi-state hospitalised population. METHODS: Cases with BCI and cardiac valve insufficiency were identified based on discharge diagnoses in 1997 statewide hospital discharge data from 19 states. Four valvular outcomes were studied: (1) mitral valve insufficiency, incompetence, regurgitation (MVIIR); (2) aortic valve insufficiency, incompetence, regurgitation, stenosis (AVIIRS); (3) tricuspid valve insufficiency, incompetence, regurgitation, stenosis (TVIIRS); and (4) pulmonary valve insufficiency, incompetence, regurgitation, stenosis (PVIIRS). RESULTS: Among 1,051,081 injury discharges, 2709 (0.26%) people had BCI; 13,087 (1.25%) had MVIIR; 9811 (0.93%) had AVIIRS; 1338 (0.13%) had TVIIRS; 178 (0.02%) had PVIIRS. Independent of potential confounding factors, discharge for BCI was associated with a 12-fold increased risk for TVIIRS and a 3.4-fold increased risk for AVIIRS. CONCLUSION: Cardiac valve insufficiency has been well recognised as an important risk factor for congestive heart failure. With the findings that BCI is associated with an increased risk of specific valvular disorders, it is possible that trauma may play an important and heretofore largely unrecognised role in a portion of the burden of cardiovascular morbidity and mortality.
Rovshan M Ismailov; Harold B Weiss; Roberta B Ness; Bruce A Lawrence; Ted R Miller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Injury     Volume:  36     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-15     Completed Date:  2005-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1022-8     Citation Subset:  IM    
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, P.O. Box 19122, Pittsburgh, PA 15213, USA.
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MeSH Terms
Age Factors
Aged, 80 and over
Chronic Disease
Heart Injuries / complications*
Heart Valve Diseases / etiology*
Middle Aged
Risk Factors
Wounds, Nonpenetrating / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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