Document Detail

The role of echocardiography in blunt chest trauma: a transthoracic and transesophageal echocardiographic study.
MedLine Citation:
PMID:  8295249     Owner:  NLM     Status:  MEDLINE    
Previous studies assessing the value of transthoracic echocardiography (TTE) in blunt chest trauma are limited because patients with severe chest wall injury often have suboptimal echocardiographic findings. Transesophageal echocardiography (TEE) can provide high quality images when the transthoracic image quality is poor. To provide complete echocardiographic assessment of cardiac structure and function we prospectively performed TTE in 105 patients with severe blunt chest trauma and TEE in 20 of the 105 patients (19%) whose TTE examination results were suboptimal. Myocardial contusion was diagnosed in 31 patients (30%), 22 by TTE and nine by TEE. Cardiac complications developed in 8 of 31 patients (26%) with myocardial contusion compared with 2 of 74 patients (3%) with normal echocardiographic findings (p = 0.001). Cardiac complications required treatment in only four patients. Echocardiography was of value in detecting severe right ventricular dysfunction as the cause of hypotension in two patients with suspected cardiac tamponade. Four patients with myocardial contusion died compared with two patients with normal echocardiographic findings (p = NS). No death was related to the cardiac status. In addition, TEE detected aortic injury in five patients, four with focal intimal tears and one with an aortic transection. We conclude that myocardial contusion is common following blunt chest trauma, rarely requires treatment, and is associated with a favorable prognosis. Only patients who develop cardiac complications benefit from echocardiography. Transesophageal echocardiography is of value when the TTE examination results are suboptimal and when aortic injury is suspected.
D G Karalis; M F Victor; G A Davis; M P McAllister; V A Covalesky; J J Ross; R V Foley; M D Kerstein; K Chandrasekaran
Related Documents :
12395219 - The heart in anderson fabry disease.
8947449 - Extracorporeal membrane oxygenation support for postcardiotomy cardiogenic shock.
9352989 - Accuracy of an automatic and patient-triggered long-term solid memory ambulatory cardia...
9326989 - Sequelae after modified fontan operation: postoperative haemodynamic data and organ fun...
2225419 - Late complications in pediatric cardiac transplant recipients.
6984629 - Trisomy 17p due to a t(5;17) (p15;p11) pat translocation.
22892819 - Dti findings during spontaneous migraine attacks.
8837259 - The use of ethanol as a marker to detect and quantify the absorption of irrigation flui...
2651379 - Clindamycin treatment of falciparum malaria in brazil.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  36     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-03-02     Completed Date:  1994-03-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  53-8     Citation Subset:  AIM; IM    
Department of Cardiology, Hahnemann University Hospital, Philadelphia, PA 19102.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Abbreviated Injury Scale
Arrhythmias, Cardiac / epidemiology,  etiology,  ultrasonography
Creatine Kinase / blood
Echocardiography, Transesophageal / methods*
Heart Injuries / blood,  epidemiology,  etiology,  ultrasonography
Hypotension / epidemiology,  etiology,  ultrasonography
Middle Aged
Prospective Studies
Thoracic Injuries / complications,  epidemiology,  ultrasonography*
Wounds, Nonpenetrating / complications,  epidemiology,  ultrasonography*
Reg. No./Substance:
0/Isoenzymes; EC Kinase

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

Previous Document:  A treatment protocol for mandible fractures.
Next Document:  Fiberoptic bronchoscopy for the early diagnosis of subglottal inhalation injury: comparative value i...