Document Detail

Diagnosis of myocardial contusion in blunt chest trauma.
MedLine Citation:
PMID:  864886     Owner:  NLM     Status:  MEDLINE    
Of 20 patients with blunt chest trauma who underwent cardiac scanning, serial electrocardiography and cardiac monitoring to rule out myocardial contusion, four had positive cardiac scans. All four had electrocardiographic abnormalities: three had nonspecific ST-T wave changes, and the fourth had electrocardiographic evidence of an acute subendocardial infarction. Of the 16 patients with negative scans, five had normal electrocardiograms. In the remaining 11 patients, factors other than myocardial contusion were suspected causes of electrocardiographic abnormalities. On the basis of this data, electrocardiogram changes in the traumatized patient have various causes. Cardiac scanning appears to be a useful adjunct to electrocardiography in confirming the presence of myocardial contusion.
M J Bayer; D Burdick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JACEP     Volume:  6     ISSN:  0361-1124     ISO Abbreviation:  JACEP     Publication Date:  1977 Jun 
Date Detail:
Created Date:  1977-07-18     Completed Date:  1977-07-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0317011     Medline TA:  JACEP     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  238-42     Citation Subset:  IM    
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MeSH Terms
Contusions / diagnosis*,  etiology
Heart Injuries / diagnosis*,  enzymology,  etiology
Middle Aged
Radionuclide Imaging
Thoracic Injuries / complications*
Wounds, Nonpenetrating / complications*

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