Diagnosing Myocardial Contusion after Blunt Chest Trauma

  • Zahra Alborzi Department of Cardiology, Medical School, Yasouj University of Medical Sciences, Yasouj, Iran.
  • Vahid Zangouri Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Shahram Paydar Mail Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Zahra Ghahramani Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Masih Shafa Department of Cardiac Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Bizhan Ziaeian Department of Thoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Mohammad Reza Radpey Department of Vascular Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Armin Amirian Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Shahin Khodaei Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Keywords:
Thoracic injuries • Contusion • Diagnose

Abstract

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.

Published
2016-10-10
How to Cite
1.
Alborzi Z, Zangouri V, Paydar S, Ghahramani Z, Shafa M, Ziaeian B, Radpey MR, Amirian A, Khodaei S. Diagnosing Myocardial Contusion after Blunt Chest Trauma. J Tehran Heart Cent. 11(2):49-54.
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Review Article(s)