Focal myocardial injury following blunt chest trauma: A comparison of indium-111 antimyosin scintigraphy with other noninvasive methods

Hendel, Robert C.; Cohn, Stephen M.; Aurigemma, Gerard P.; Whitfield, Steven; Dahlberg, Seth T.; Pape, Linda; Leppo, Jeffrey A.

doi:10.1016/0002-8703(92)91025-v

Cited by 17 publications

(3 citation statements)

References 28 publications

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“…20,21 Indium-111 antimyosin scintigraphy has been described in few cases reports as a sensitive indicator of myocardial viability. 22 PET is also a useful modality to diagnosis infarcted myocardium. 23 These diagnostic tools are neither widely available nor convenient in the trauma patient population, and should be used selectively as a complement to the initial investigation.…”

Section: Initial Investigationmentioning

confidence: 99%

Diagnosis, work-up and management of blunt cardiac injuries

Joos

Tadloc

Inaba

2014

Trauma

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Blunt cardiac injury has a wide spectrum of clinical presentations, some of them quite severe. Its definition varies throughout the literature. The purpose of this review is to describe the epidemiology, screening, diagnosis and management of blunt cardiac injury. Blunt cardiac injury complicates up to 30% of severe blunt force trauma. It can be classified into electrical and structural abnormalities. Screening modalities include electrocardiogram and cardiac enzymes. Serial negative electrocardiograms and troponins can safely rule out blunt cardiac injury. A transthoracic echocardiogram should be performed if persistent dysrhythmia or hypotension. All dysrhythmias should be treated. Patients with structural abnormalities rarely survive. In conclusion, blunt cardiac injury is prevalent after significant blunt trauma. The appropriate screening modalities should be employed and any abnormality to be treated.

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Section: Initial Investigationmentioning

confidence: 99%

Diagnosis, work-up and management of blunt cardiac injuries

Joos

Tadloc

Inaba

2014

Trauma

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“…The criteria used to define blunt cardiac injury have often been challenged because neither ECG nor cardiac enzymes are specific for cardiac injury in blunt trauma [22, 24–27]. Albeit, in clinical practice, they are commonly performed as it was evident in our investigation.…”

Section: Discussionmentioning

confidence: 93%

Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury

Kaewlai

Moya

Santos

et al. 2011

Emergency Medicine International

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Trauma patients with thoracic aortic injury (TAI) suffer blunt cardiac injury (BCI) at variable frequencies. This investigation aimed to determine the frequency of BCI in trauma patients with TAI and compare with those without TAI. All trauma patients with TAI who had admission electrocardiography (ECG) and serum creatine kinase-MB (CK-MB) from January 1999 to May 2009 were included as a study group at a level I trauma center. BCI was diagnosed if there was a positive ECG with either an elevated CK-MB or abnormal echocardiography. There were 26 patients (19 men, mean age 45.1 years, mean ISS 34.4) in the study group; 20 had evidence of BCI. Of 52 patients in the control group (38 men, mean age 46.9 years, mean ISS 38.7), eighteen had evidence of BCI. There was a significantly higher rate of BCI in trauma patients with TAI versus those without TAI (77% versus 35%, P < 0.001).

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“…However, several studies have shown a poor correlation between ECG abnormality and either raised creatine kjnase MB or evidence of regional wall motion abnormality demonstrated by either echocardiography45 or radionuclide ventriculography. 6 Aortography is the standard investigation when either clinical or radiographic examination suggests aortic injury. Disadvantages of aortography include its invasive nature, the associated delay and cost, and the limited diagnostic data that it provides as aortography cannot exclude traumatic myocardial injury.…”

Section: Diagnosismentioning

confidence: 99%