Myocardial contusion without creatine kinase--MB elevation.
Myocardial contusion after chest trauma remains one of the major complexities of trauma care today. Diagnostic methods such as 12-lead electrocardiography and echocardiography, as well as activity of the biochemical marker creatine kinase and the MB subfraction, have not been shown to be sensitive or specific indicators. We report a case of an intraoperatively proved myocardial contusion without creatinine kinase or creatine kinase MB elevation.
Unkle
D W
DW
Division of Trauma and Emergency Medical Services, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Camden 08103.
Smejkal
R
R
O'Malley
K F
KF
D000328:Adult; D004796:Clinical Enzyme Tests; D003288:Contusions / Q000175:diagnosis*; D003402:Creatine Kinase / Q000097:blood*; D004452:Echocardiography; D004562:Electrocardiography; D005188:False Negative Reactions; D006335:Heart Injuries / Q000175:diagnosis*; D006801:Humans; D007527:Isoenzymes; D008297:Male
D007527:Isoenzymes; D003402:Creatine Kinase