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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 (PubMed)

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

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2017 The Pan African medical journal

2. Diagnosing Myocardial Contusion after Blunt Chest Trauma (PubMed)

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.

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2016 The Journal of Tehran University Heart Center

3. 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

4. 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

5. 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

6. Investigation of myocardial contusion with sternal fracture in the emergency department: Multicentre review (PubMed)

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

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2014 Canadian Family Physician

7. 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 (...) 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

2018 FP Notebook

8. 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 (...) 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

2018 FP Notebook

9. 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

10. Role of intra-aortic balloon pump in myocardial contusion (PubMed)

Role of intra-aortic balloon pump in myocardial contusion 21929927 2011 12 13 2018 11 13 1478-7083 93 6 2011 Sep Annals of the Royal College of Surgeons of England Ann R Coll Surg Engl Role of intra-aortic balloon pump in myocardial contusion. 490-1 10.1308/003588411X592130h Vu T T Department of Surgery, University of Miami School of Medicine, Miami, Florida, USA. tvu@med.miami.edu Stahl K D KD Asensio J A JA eng Journal Article England Ann R Coll Surg Engl 7506860 0035-8843 IM Contusions

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2011 Annals of the Royal College of Surgeons of England

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

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

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

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

13. Myocardial contusion in an eight-year-old child. (PubMed)

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

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1967 California Medicine

14. A FATAL CASE OF MYOCARDIAL CONTUSION (PubMed)

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

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1941 British Heart Journal

15. Cardiac Trauma: Clinical and Experimental Correlations of Myocardial Contusion (PubMed)

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.

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1974 Annals of Surgery

16. 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

17. Early detection of myocardial infarction following blunt chest trauma by computed tomography: a case report. (PubMed)

Early detection of myocardial infarction following blunt chest trauma by computed tomography: a case report. Blunt cardiac trauma encompasses a wide range of clinical entities, including myocardial contusion, cardiac rupture, valve avulsion, pericardial injuries, arrhythmia, and even myocardial infarction. Acute myocardial infarction due to coronary artery dissection after blunt chest trauma is rare and may be life threatening. Differential diagnosis of acute myocardial infarction from cardiac (...) contusion at this setting is not easy.Here we demonstrated a case of blunt chest trauma, with computed tomography detected myocardium enhancement defect early at emergency department. Under the impression of acute myocardial infarction, emergent coronary angiography revealed left anterior descending artery occlusion. Revascularization was performed and coronary artery dissection was found after thrombus aspiration. Finally, the patient survived after coronary stenting.Perfusion defects of myocardium

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2017 BMC Cardiovascular Disorders

18. Evaluation of Myocardial Injury using Standard Diagnostic Tools and Tissue Doppler Imaging in Blunt Trauma Chest (PubMed)

Evaluation of Myocardial Injury using Standard Diagnostic Tools and Tissue Doppler Imaging in Blunt Trauma Chest Myocardial contusion is an entity in chest trauma which is difficult to diagnose. Current practice relies more on cardiac-specific biochemical markers and standard echocardiography, but no gold standard test exists. The application of Tissue Doppler imaging is yet unexplored.The present study was designed to evaluate cardiac injury in patients with blunt trauma chest using (...) (measured by tissue Doppler echocardiography) at tricuspid valve, we found statistically significant difference among two techniques. (p = 0.04).Echocardiography is very sensitive parameter for evaluation of myocardial contusion. Tissue Doppler imaging provides additional and reliable information.

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2017 Journal of clinical and diagnostic research : JCDR

19. Management of Unstable Angina/Non ST Elevation Myocardial Infarction (UA/NSTEMI)

significant CAD, e.g. cocaine abuse Damage not related to myocardial ischaemia Cardiac contusion Cardiac incisions with surgery Radiofrequency or cryoablation therapy Rhabdomyolysis with cardiac involvement Myocarditis Cardiotoxic agents, e.g. anthracyclines, herceptin, carbon monoxide poisoning Severe burns affecting >30% of body surface Indeterminant or multifactorial group Apical ballooning syndrome Severe pulmonary embolism or pulmonary hypertension Peripartum cardiomyopathy Renal failure Severe acute (...) Management of Unstable Angina/Non ST Elevation Myocardial Infarction (UA/NSTEMI) MOH/P/PAK/219.11(GU) June 2011STATEMENT OF INTENT This guideline was developed to be a guide for best clinical practice in the management of Unstable Angina/ Non ST Elevation Myocardial Infarction (UA/NSTEMI). It is based on the best available evidence at the time of development. Adherence to this guideline does not necessarily lead to the best clinical outcome in individual patient care. Thus, every health care

2011 Ministry of Health, Malaysia

20. Acute Myocardial Infarction Following Blunt Chest Trauma and Coronary Artery Dissection (PubMed)

Acute Myocardial Infarction Following Blunt Chest Trauma and Coronary Artery Dissection Blunt chest traumatic coronary artery dissection is an uncommon cause of atherosclerotic and non-atherosclerotic Acute Myocardial Infarction (AMI). Injuries of the coronary artery after blunt chest trauma are caused by different mechanisms such as vascular spasm, dissection and intimal tear or rupture of an existing thrombus formation. Chest pain might be masked by other injuries in patients with multiple (...) artery should be kept in mind after blunt trauma to the chest. This condition is sometimes underdiagnosed. Its diagnosis may be difficult because chest pain can be interpreted as being secondary to chest wall contusion or it may be overshadowed by other injuries. Coronary dissection diagnosis after chest trauma requires clinical suspicion and systematic evaluation. Electrocardiography (ECG) should be done for every patient with thoracic trauma as the clinical findings may be misleading.

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2016 Journal of clinical and diagnostic research : JCDR

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