Myocardial contusion: when does it have clinical significance?
A retrospective review of 53 patients with blunt chest trauma admitted to a monitored hospital bed demonstrated a single elderly patient with multiple injuries who developed dysrhythmias requiring treatment. The remainder of the relatively young group had no significant cardiac sequelae. We conclude that the routine use of expensive monitoring and extensive diagnostic tests in the young blunt chest trauma victim should be reconsidered.
Beresky
R
R
Department of Surgery, Tripler Army Medical Center, Honolulu.
Klingler
R
R
Peake
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology*; D003402:Creatine Kinase / Q000097:blood*; D005260:Female; D006335:Heart Injuries / Q000097:blood / Q000209:etiology*; D006801:Humans; D007527:Isoenzymes; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014193:Trauma Centers; D014949:Wounds, Nonpenetrating / Q000150:complications*
D007527:Isoenzymes; D003402:Creatine Kinase