title: Diagnosing Myocardial Contusion after Blunt Chest Trauma.
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.
authors.affiliation: Department of Cardiology, Medical School, Yasouj University of Medical Sciences, Yasouj, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Alborzi
authors.affiliation: Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Zangouri
authors.affiliation: Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Paydar
authors.affiliation: Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Ghahramani
authors.affiliation: Department of Cardiac Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Masih
authors.initials: M
authors.lastname: Shafa
authors.affiliation: Department of Thoracic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Bizhan
authors.initials: B
authors.lastname: Ziaeian
authors.affiliation: Department of Vascular Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Radpey
authors.affiliation: Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Armin
authors.initials: A
authors.lastname: Amirian
authors.affiliation: Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Shahin
authors.initials: S
authors.lastname: Khodaei
keywords: Contusion; Diagnose; Thoracic injuries