| Cardiac contusion: ending myocardial confusion in this capricious syndrome. | |
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MedLine Citation:
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PMID: 17698215 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Symptoms of cardiac contusion are very greatly and sometimes are non recognized or are masked by associated injury in severe chest trauma. Cardiac contusion clinically presents as a spectrum of signs and symptoms of varying severity, ranging from precordial pain, dyspnoea, and non specific ECG changes to increased serum activity of several enzymes, early severe rhythm abnormalities, severe conduction defects and death. We present a fatal case in which the definitive diagnosis of myocardial contusion has proved complex. All clinical data were suggestive of acute myocardial infarction, but the history of chest wall injury and gross and histological examination of the heart and coronary vessels led us to conclude for a cardiac contusion without myocardial infarction. In case of chest blunt trauma, the ECG should be interpreted within the context of the clinical situation, on history of chest wall injury, since a fatal myocardial contusion may occur after apparently mild injury. |
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Authors:
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Irene Riezzo; Cristoforo Pomara; Margherita Neri; Giuseppina Rossi; Vittorio Fineschi |
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Publication Detail:
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Type: Case Reports; Letter Date: 2007-08-14 |
Journal Detail:
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Title: International journal of cardiology Volume: 128 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-04 Completed Date: 2009-02-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: e107-10 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Contusions / diagnosis*, pathology, physiopathology Diagnosis, Differential Fatal Outcome Heart Injuries / diagnosis*, pathology, physiopathology Humans Male Myocardial Infarction / diagnosis, pathology, physiopathology Myocardium / pathology* Syndrome |
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