Document Detail


Myocardial dysfunction following blunt chest trauma.
MedLine Citation:
PMID:  6651514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We prospectively studied 35 patients with blunt chest trauma using ECG multi-gated and first-pass nuclear angiography. Radionuclide angiography (RNA) is a sensitive test of myocardial function demonstrating right and left ventricular ejection fractions. First-pass angiography, in addition, shows left ventricular segmental wall motion, a qualitative as well as anatomic indicator of left ventricular function. We saw RNA abnormalities in 26 patients (74.2%). Eight patients (22.8%) had ECG abnormalities, and these findings correlated with RNA, suggesting that this technique is a very sensitive indicator of myocardial dysfunction following trauma. These studies warrant further experimental and clinical evaluations to determine the cause, significance, and long-term prognosis of posttraumatic myocardial dysfunction.
Authors:
D P Harley; I Mena; R Miranda; R J Nelson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  118     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1983 Dec 
Date Detail:
Created Date:  1984-01-07     Completed Date:  1984-01-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1384-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Contusions / etiology,  physiopathology,  radionuclide imaging
Coronary Vessels / physiopathology,  radionuclide imaging
Electrocardiography
Female
Heart Injuries / diagnosis*
Heart Ventricles / physiopathology,  radionuclide imaging
Humans
Male
Middle Aged
Stroke Volume
Thoracic Injuries / complications*
Wounds, Nonpenetrating / complications*,  radionuclide imaging

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


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