Lack of Significant Long-term Sequelae Following Traumatic Myocardial Contusion

Sturaitis, Mary K.; McCallum, Duncan; Sutherland, G. A.; Cheung, H.; Driedger, Albert A.; Sibbald, William J.

doi:10.1001/archinte.1986.00360210149021

Cited by 27 publications

(4 citation statements)

References 20 publications

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“…The two groups were indistinguishable with regard to ECG, RV, and LV function. 68 More recently, a prospective study evaluated patients with blunt thoracic trauma at 3 and 12 months. Of those with a myocardial contusion and wall motion abnormalities, 10 of 17 had persistent wall motion abnormalities at 3 months and only 4 of 17 at 12 months.…”

Section: Outcomes and Long-term Managementmentioning

confidence: 99%

“…Another prospective study evaluated 12 patients who sustained a myocardial contusion 12 months prior and compared them to 12 matched patients who sustained blunt chest trauma without myocardial contusion. The two groups were indistinguishable with regard to ECG, RV, and LV function 68 . More recently, a prospective study evaluated patients with blunt thoracic trauma at 3 and 12 months.…”

Section: Outcomes and Long-term Managementmentioning

confidence: 99%

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Diagnosis and management of blunt cardiac injury: What you need to know

Biffl,

Fawley,

Mohan

2023

J Trauma Acute Care Surg

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Blunt cardiac injury (BCI) encompasses a wide spectrum, from occult and inconsequential contusion to rapidly fatal cardiac rupture. A small percentage of patients present with abnormal electrocardiogram (ECG) or shock, but most are initially asymptomatic. The potential for sudden dysrhythmia or cardiac pump failure mandates consideration of the presence of BCI, including appropriate monitoring and management. In this review we will present what you need to know to diagnose and manage BCI.

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Section: Outcomes and Long-term Managementmentioning

confidence: 99%

Section: Outcomes and Long-term Managementmentioning

confidence: 99%

Diagnosis and management of blunt cardiac injury: What you need to know

Biffl,

Fawley,

Mohan

2023

J Trauma Acute Care Surg

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“…Stuartis et al [32] concluded that traumatic BCI of the left or right ventricle usually resolves without significant functional sequela within 1 year of injury. Lindstaedt et al [33] in a prospective study of 118 patients with blunt thoracic injury showed that BCI patients who do not develop acute complications will have acceptable cardiac function within 1 year of their injury.…”

Section: Managementmentioning

confidence: 99%

Cardiac and Pulmonary Injury

Velmahos

Butt

2008

Eur J Trauma Emerg Surg

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Cardiac and pulmonary injuries present major challenges in diagnosis and treatment. Distinct differences between penetrating and blunt trauma of these organs exist. Outcomes for severe injuries are still grave. Organized trauma systems can provide optimal care by minimizing prehospital time, allowing easy access to imaging modalities, and offering state-of-the-art treatment strategies. A multidisciplinary approach, including surgeons, intensivists, and others, is absolutely necessary.

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“…The observation that acute PH is associated with an increased mortality in association with trauma [44] may reflect the impaired ability of the contused RV to maintain an appropriately increased Ozt in the presence of increased RV afterload. With time, it seems that the hemodynamic sequelae of RV contusion are largely reversible [45].…”

Section: Rv Function and Myocardial Contusionmentioning

confidence: 99%

Right ventricular function in the surgical patient

Raper

Sibbald

1987

World j. surg.

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It has long been appreciated that the cardiovascular system plays a vital role in surgical illnesses. Although attention has, historically, been largely focused on the left ventricle, it has become apparent in recent years that the right ventricle may contribute significantly to an absolute or relative failure of cardiovascular adaptation to acute and chronic disease states. Many of the physiological principles governing left ventricular function also determine right ventricular function. Thus, the right ventricle is affected by changes in afterload, preload, and contractility. Since many surgically relevant disease states may potentially alter such determinants of right ventricular function, some consideration of right ventricular function and its effect on global cardiac function in the surgical patient is warranted. In this review, we have attempted to provide a brief overview of normal right ventricular physiology as well as the pathophysiology and therapy of right ventricular dysfunction that may be seen in the surgical patient.

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Lack of Significant Long-term Sequelae Following Traumatic Myocardial Contusion

Cited by 27 publications

References 20 publications

Diagnosis and management of blunt cardiac injury: What you need to know

Diagnosis and management of blunt cardiac injury: What you need to know

Cardiac and Pulmonary Injury

Right ventricular function in the surgical patient

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