Document Detail


Classification of myocardial contusion and blunt cardiac trauma.
MedLine Citation:
PMID:  18024946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myocardial injury caused by blunt chest trauma has been recognized with increased frequency over the past 2 decades. Increased awareness by physicians and the increased use of various clinical and laboratory diagnostic modalities have contributed to this recognition. Injuries range from inconsequential to catastrophic and can affect any or all areas of the heart: pericardium, myocardium, coronary arteries and veins, chordae, papillary muscles, valves, and great vessels. In addition to the medical importance of the diagnosis, substantial forensic implications have been known to arise. It is important to assess and classify properly the extent of the trauma and its prognostication as to the possibility of residual sequelae. A proposed classification is presented that has both medical and legal application. The uses of stages 0 (suspect), I (mild), II (moderate), III (severe), and IV (catastrophic) are illustrated in detail.
Authors:
Basil M RuDusky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  58     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2007 Oct-Nov
Date Detail:
Created Date:  2007-11-20     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  610-3     Citation Subset:  IM    
Affiliation:
Northeast Cardiovascular Clinic and Research Institute, Wilkes-Barre, PA 18701, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Contusions / classification*,  diagnosis,  etiology
Forensic Medicine / standards*
Heart Injuries / classification*,  diagnosis,  etiology
Humans
Myocardium / pathology*
Prognosis
Severity of Illness Index
Terminology as Topic*
Wounds, Nonpenetrating / complications*,  pathology

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


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