title: Myocardial contusion without creatine kinase--MB elevation.
abstract: 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.
authors.affiliation: Division of Trauma and Emergency Medical Services, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Camden 08103.
authors.forename: D W
authors.initials: DW
authors.lastname: Unkle
authors.forename: R
authors.initials: R
authors.lastname: Smejkal
authors.forename: K F
authors.initials: KF
authors.lastname: O'Malley
mesh_terms: 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
chemical_list: D007527:Isoenzymes; D003402:Creatine Kinase