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Myocardial Contusion

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1. ST-segment elevation after blunt chest trauma: myocardial contusion with normal coronary arteries or myocardial infarction following coronary lesions Full Text available with Trip Pro

ST-segment elevation after blunt chest trauma: myocardial contusion with normal coronary arteries or myocardial infarction following coronary lesions Cardiac lesions secondary to blunt chest trauma vary from insignificant arrhythmias to fatal cardiac rupture. Of these, a distinction remains difficult; face to ST-segment elevation on ECG with positive cardiac biomarkers, is it a myocardial contusion or a genuine myocardial infarction (MI) secondary to coronary lesions? We report the case (...) of a patient admitted for multiple trauma. Initial assessment showed an ST segment elevation on ECG, along with multiple fractures and abdominal injuries. We would like to discuss, through this case, the similarities and the differences between myocardial infarction due to coronary lesions and myocardial contusion in a traumatic context, but also emphasize the difficulty of striking the right balance between thrombotic and bleeding risks in this situation, and insist on the importance

2017 The Pan African medical journal

2. Myocardial Contusion

Myocardial Contusion Myocardial Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Myocardial Contusion Myocardial Contusion (...) Aka: Myocardial Contusion From Related Chapters II. Causes Chest III. History Bent stearing wheel in a IV. Signs Anterior chest wall injury signs Sternal tenderness Sternal deformity V. Labs Serial levels Serum myoglobin Serum VI. Diagnostics Telemetry monitoring Serial Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Myocardial Contusion." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

3. ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis

ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Dr. Smith's ECG Blog: ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Wednesday, December 9, 2015 A young man was in a rollover Motor Vehicle Collision, with a chest laceration and chest pain. He underwent a CT scan of the chest: There is a very small pneumothorax anterior to the heart This image is from slightly lower down: There is a bit of air in the pericardium (...) A troponin returned elevated, so this ECG was recorded: There is some minimal ST elevation in inferior and lateral leads. This is consistent with percarditis. The troponin shows that there is some myocardial damage. Is it myocardial contusion, or myo-pericarditis? Or pericarditis as a result of myocardial contusion? 6 hours later: There is diffuse ST elevation without large T-waves (low T-wave to ST segment ratio, which is typical of pericarditis vs. STEMI). There is PR depression. There is also

2015 Dr Smith's ECG Blog

4. Diagnosing Myocardial Contusion after Blunt Chest Trauma Full Text available with Trip Pro

Diagnosing Myocardial Contusion after Blunt Chest Trauma A myocardial contusion refers to a bruise of the cardiac muscle, the severity of which can vary depending on the severity of the injury and when the injury occurs. It is a major cause of rapid death which happens after blunt chest trauma and should be suspected at triage in the emergency department. We demonstrated that suspected myocardial contusion patients who have normal electrocardiograms (ECGs) and biomarker tests can be safely (...) discharged. However, if the test results are abnormal, the next steps should be echocardiography and more advanced measures. Diagnosing myocardial contusion is very difficult because of its nonspecific symptoms. If a myocardial contusion happens, cardiogenic shock or arrhythmia must be anticipated, and the patient must be carefully monitored.

2016 The Journal of Tehran University Heart Center

5. Management of Concussion-mild Traumatic Brain Injury (mTBI)

Management of Concussion-mild Traumatic Brain Injury (mTBI) VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF CONCUSSION-MILD TRAUMATIC BRAIN INJURY Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard (...) and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 2.0 – 2016 VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury February 2016 Page 2 of 133 Prepared by: The Management of Concussion-mild Traumatic Brain Injury Working Group With support from

2016 VA/DoD Clinical Practice Guidelines

6. Cardiac Contusion

Trip Database) Ontology: Contusion to heart (C0273112) Definition (NCI_FDA) A bruise to the heart. Definition (NCI) A bruise to the heart. Concepts Injury or Poisoning ( T037 ) ICD10 SnomedCT 210054006 , 17414004 English Myocardial Contusion , myocardial contusion (diagnosis) , myocardial contusion , cardiac contusions , cardiac contusion , contusion heart , contusions heart , heart contusion , CONTUSION, MYOCARDIAL , MYOCARDIAL CONTUSION , CARDIAC CONTUSION , CONTUSION, CARDIAC , Cardiac contusion (...) Contusion , Blunt Cardiac Injury , Blunt Myocardial Injury , Myocardial Contusion , Heart Contusion From Related Chapters II. Causes High speed injury (e.g. MVA) III. See Also IV. Symptoms V. Signs VI. Labs Increased in Cardiac Contusion VII. Diagnostics (EKG) See s (PVC) Unexplained ST Segment changes may occur in blunt cardiac Advanced hemodynamic monitoring (if central access) increased VIII. Imaging Wall motion abnormality IX. Differential Diagnosis See See associated conditions below X. Associated

2018 FP Notebook

7. Cardiac Contusion

Trip Database) Ontology: Contusion to heart (C0273112) Definition (NCI_FDA) A bruise to the heart. Definition (NCI) A bruise to the heart. Concepts Injury or Poisoning ( T037 ) ICD10 SnomedCT 210054006 , 17414004 English Myocardial Contusion , myocardial contusion (diagnosis) , myocardial contusion , cardiac contusions , cardiac contusion , contusion heart , contusions heart , heart contusion , CONTUSION, MYOCARDIAL , MYOCARDIAL CONTUSION , CARDIAC CONTUSION , CONTUSION, CARDIAC , Cardiac contusion (...) Contusion , Blunt Cardiac Injury , Blunt Myocardial Injury , Myocardial Contusion , Heart Contusion From Related Chapters II. Causes High speed injury (e.g. MVA) III. See Also IV. Symptoms V. Signs VI. Labs Increased in Cardiac Contusion VII. Diagnostics (EKG) See s (PVC) Unexplained ST Segment changes may occur in blunt cardiac Advanced hemodynamic monitoring (if central access) increased VIII. Imaging Wall motion abnormality IX. Differential Diagnosis See See associated conditions below X. Associated

2018 FP Notebook

8. Head On Motor Vehicle Collision. ST depression. Myocardial Contusion?

Head On Motor Vehicle Collision. ST depression. Myocardial Contusion? Dr. Smith's ECG Blog: Head On Motor Vehicle Collision. ST depression. Myocardial Contusion? Tuesday, July 1, 2014 A woman in her 40's was involved in a head-on motor vehicle collision. EMS noted a facial droop. On arrival she was hypertensive but other vitals were normal. She did complain of back and neck pain, chest pain, and SOB. She also had a facial droop as noted by medics. This droop was apparently new. An ECG (...) was recorded: This shows diffuse ST depression (diffuse subendocardial ischemia) in leads I, II, aVF an V3 to V6, with reciprocal ST elevation in aVR and V1. This is diagnostic of subendocardial ischemia or injury. The ECG was repeated 36 minutes later: The findings are improving Is this : 1. Myocardial contusion? 2. Stress Cardiomyopathy due to stroke? 3. ACS? 4. Type II (demand ischemia) from stable coronary disease with stress? 5. Aortic dissection affecting both carotid artery and aortic coronary cusps

2014 Dr Smith's ECG Blog

9. Ticagrelor for preventing atherothrombotic events after myocardial infarction

Ticagrelor for preventing atherothrombotic events after myocardial infarction Ticagrelor for pre Ticagrelor for prev venting enting atherothrombotic e atherothrombotic ev vents after ents after m my yocardial infarction ocardial infarction T echnology appraisal guidance Published: 14 December 2016 nice.org.uk/guidance/ta420 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility (...) equality of opportunity and to reduce health inequalities. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Ticagrelor for preventing atherothrombotic events after myocardial infarction (TA420) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2

2017 National Institute for Health and Clinical Excellence - Technology Appraisals

10. Management of Acute ST Segment Elevation Myocardial Infarction (STEMI) – (4th Edition)

Management of Acute ST Segment Elevation Myocardial Infarction (STEMI) – (4th Edition) CLINICAL PRACTICE GUIDELINE: MANAGEMENT OF ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI) 4 th EDITION 2019 NATIONAL HEART ASSOCIATION OF MALAYSIA MOH/P/PAK/420.19(GU)-eMANAGEMENT OF ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI) 2019 2 STATEMENT OF INTENT This guideline was developed to be a guide for best clinical practice, based on the best available evidence at the time of development (...) . CPG Secretariat Health Technology Assessment Unit Medical Development Division Level 4, Block EI, Parcel E Government Offices Complex 62590 Putrajaya, Malaysia Available on the following websites: http://www.moh.gov.my http://www.acadmed.org.myMANAGEMENT OF ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI) 2019 3 MESSAGE FROM THE DIRECTOR GENERAL OF HEALTH The 1st Clinical Practice Guideline (CPG) on ST Elevation Myocardial Infarction (STEMI) was published in 2001 with a 2nd and 3rd update

2019 Ministry of Health, Malaysia

11. Investigation of myocardial contusion with sternal fracture in the emergency department: Multicentre review Full Text available with Trip Pro

Investigation of myocardial contusion with sternal fracture in the emergency department: Multicentre review To describe the use of initial electrocardiogram (ECG), follow-up ECG or equivalent monitoring, and troponin I in patients presenting with sternal fracture who are assessed in emergency departments or by front-line physicians.Multicentre descriptive retrospective study.Two traumatology teaching centres in Quebec city, Que.Fifty-four trauma patients presenting with sternal (...) fracture.Assessment of the use of initial ECG, ECG or equivalent monitoring 6 hours after trauma, and troponin administration.In terms of ECG use, quality comparison criteria were selected on the basis of expert opinions in 4 studies. An initial ECG and a follow-up ECG 6 hours after trauma or cardiac monitoring 6 hours after trauma were recommended by most authors for diagnosing myocardial contusion in cases of sternal fracture. Serum troponin I administered 4 to 8 hours after chest trauma was also recommended

2014 Canadian Family Physician

12. Myocardial Contusion

Myocardial Contusion Myocardial Contusion Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Myocardial Contusion Myocardial Contusion (...) Aka: Myocardial Contusion From Related Chapters II. Causes Chest III. History Bent stearing wheel in a IV. Signs Anterior chest wall injury signs Sternal tenderness Sternal deformity V. Labs Serial levels Serum myoglobin Serum VI. Diagnostics Telemetry monitoring Serial Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Myocardial Contusion." Click on the image (or right click) to open the source website in a new browser window

2015 FP Notebook

13. Imaging in blunt cardiac injury: Computed tomographic findings in cardiac contusion and associated injuries. (Abstract)

Imaging in blunt cardiac injury: Computed tomographic findings in cardiac contusion and associated injuries. Blunt cardiac injury (BCI) may manifest as cardiac contusion or, more rarely, as pericardial or myocardial rupture. Computed tomography (CT) is performed in the vast majority of blunt trauma patients, but the imaging features of cardiac contusion are not well described.To evaluate CT findings and associated injuries in patients with clinically diagnosed BCI.We identified 42 patients (...) % had anterior rib fractures, and 64% had pulmonary contusions. Sternal fractures were only seen in 36% of such patients. However, myocardial hypoenhancement on CT is poorly sensitive for those patients with cardiac contusion: 0% of right ventricular contusions and 22% of left ventricular contusions seen on echocardiography were identified on CT.CT signs of severe thoracic trauma are frequently present in patients with severe BCI and should be regarded as indirect evidence of potential BCI. Direct

2015 Injury

14. Dual-source computed tomography may define cardiac contusion in patients with blunt chest trauma in ED. (Abstract)

Dual-source computed tomography may define cardiac contusion in patients with blunt chest trauma in ED. We report a 20-year-old woman with blunt chest trauma because of a motor vehicle injury who has traumatic asphyxia and hypotension. The diagnosis of blunt cardiac injury was put by using dual-energy computed tomography in the emergency department because other laboratory and imaging modalities were useless. After hospitalization in intensive care unit, she was treated with supportive (...) and antiedema therapy. The patient was extubated on the fifth day and discharged on the ninth day without any sequel. Coexistence of traumatic asphyxia with blunt cardiac injury is rare. Several imaging techniques such as transthoracic and transesophageal echocardiography, contrast-enhanced multislice thorax computed tomography or initial electrocardiogram, and troponin I levels are used to detect the myocardial damage, but diagnostic capability is low. Dual-energy computed tomography is a promising new

2015 American Journal of Emergency Medicine

15. A FATAL CASE OF MYOCARDIAL CONTUSION Full Text available with Trip Pro

A FATAL CASE OF MYOCARDIAL CONTUSION 18609873 2008 08 22 2018 11 13 0007-0769 3 2 1941 Apr British heart journal Br Heart J A FATAL CASE OF MYOCARDIAL CONTUSION. 127-31 Barber H H Derbyshire Royal Infirmary. Osborn G R GR eng Journal Article England Br Heart J 0370634 0007-0769 1941 4 1 0 0 1941 4 1 0 1 1941 4 1 0 0 ppublish 18609873 PMC503465 Br Heart J. 1940 Oct;2(4):271-80 18609860 Br Med J. 1938 Feb 26;1(4025):433-8 20781273

1941 British Heart Journal

16. Cardiac Trauma: Clinical and Experimental Correlations of Myocardial Contusion Full Text available with Trip Pro

Cardiac Trauma: Clinical and Experimental Correlations of Myocardial Contusion Clinical and experimental observations in myocardial contusion have been correlated. Cardiac arrhythmia is always an important consequence and may be fatal. Reduction in cardiac output often accompanies significant cardiac injury. The coronary arterial circulation is not interrupted and is generally enhanced to the area of injury. Healing of the injury under these circulatory conditions may result in patchy scarring (...) and peculiar adynamic areas of myocardium. Early diagnosis of myocardial contusion may be aided using radionuclide imaging with (99m)Tc-Sn-polyphosphate.

1974 Annals of Surgery

17. Myocardial contusion in an eight-year-old child. Full Text available with Trip Pro

Myocardial contusion in an eight-year-old child. 6075466 1968 02 16 2018 11 13 0008-1264 107 3 1967 Sep California medicine Calif Med Myocardial contusion in an eight-year-old child. 274-7 Takahashi M M Linde L M LM Momma K K Pabst P J PJ eng Journal Article United States Calif Med 0410260 0008-1264 IM Blood Chemical Analysis Child Contusions Electrocardiography Heart Injuries diagnosis therapy Humans Male 1967 9 1 1967 9 1 0 1 1967 9 1 0 0 ppublish 6075466 PMC1502916 Am Heart J. 1966 Apr;71(4

1967 California Medicine

18. Third Universal Definition of Myocardial Infarction

dissection or severe aortic valve disease Hypertrophic cardiomyopathy Cardiogenic, hypovolaemic, or septic shock Severe respiratory failure Severe anaemia Hypertension with or without LVH Coronary spasm Coronary embolism or vasculitis Coronary endothelial dysfunction without signi?cant CAD Injury not related to myocardial ischaemia Cardiac contusion, surgery, ablation, pacing, or de?brillator shocks Rhabdomyolysis with cardiac involvement Myocarditis Cardiotoxic agents, e.g. anthracyclines, herceptin (...) Third Universal Definition of Myocardial Infarction EXPERT CONSENSUS DOCUMENT Thirduniversalde?nitionofmyocardialinfarction KristianThygesen,JosephS.Alpert,AllanS.Jaffe,MaartenL.Simoons, BernardR.ChaitmanandHarveyD.White:theWritingGrouponbehalfoftheJoint ESC/ACCF/AHA/WHFTaskForcefortheUniversalDe?nitionofMyocardial Infarction Authors/TaskForceMembersChairpersons:KristianThygesen(Denmark)*, JosephS.Alpert,(USA) * ,HarveyD.White,(NewZealand) * ,Biomarker Subcommittee:AllanS.Jaffe(USA),HugoA.Katus

2012 European Society of Cardiology

19. Delayed Cardiac Rupture Induced by Traumatic Myocardial Infarction: Consequence of a 45-Magnum Blast Injury; A Comprehensive Case Review Full Text available with Trip Pro

Delayed Cardiac Rupture Induced by Traumatic Myocardial Infarction: Consequence of a 45-Magnum Blast Injury; A Comprehensive Case Review A penetrating chest trauma, a myocardial contusion or a myocardial infarction can lead to a cardiac rupture, which is linked to an extreme high death rate. Only few cases with delayed perforation of the myocardium have been reported in literature. We report about a penetrating gunshot injury, which led to a myocardial contusion with secondary delayed rupture

2018 Bulletin of emergency & trauma

20. Prazosin for Post-Concussive Headaches

and/or tension-type HA disorder (for example hemicrania continua; cluster) that accounts for the majority of current symptoms. HAs of any kind of moderate or severe intensity on an average of more than 4 days per month preceding the concussive trauma Acute or serious medical illness or unstable chronic medical illness (e.g., unstable angina, myocardial infarction within 6 months, congestive heart failure, clinically significant or concerning cardiac arrhythmias; preexisting hypotension [systolic blood (...) Prazosin for Post-Concussive Headaches Prazosin for Post-Concussive Headaches - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Prazosin for Post-Concussive Headaches The safety and scientific validity

2016 Clinical Trials

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