A young man was in a rollover Motor Vehicle Collision, with a chest laceration and chest pain. [hqmeded-ecg.blogspot.com]

A fractured sternum indicates high kinetic energy at the impact and elevated Troponin levels and chest pain after such an injury confirm myocardial contusion. [radiopaedia.org]

Medicines may be prescribed to relieve chest pain, heart rate abnormalities, or low blood pressure that can arise from Myocardial Contusions. [dovemed.com]

Clinical picture is varied and nonspecific: Chest pain Cardiogenic shock Subtle EKG changes without clinical symptoms Most common sign is tachycardia out of proportion to degre... [5minuteconsult.com]

pain Usually due to trauma May be anginal Tachycardia out of proportion to blood loss Dysrhythmia or friction rub Dyspnea, chest wall ecchymosis High suspicion if: Flail chest Sternal fracture Diagnostic testing Note: Major value of ECG and enzymes is [fprmed.com]

Of these patients, 6 had biventricular dysfunction, 1 had isolated abnormal left ventricular function, and 2 had isolated abnormal right ventricular function in the absence of chronic obstructive pulmonary disease or preexisting heart disease. [ncbi.nlm.nih.gov]

Traumatic heart disease. In: Levine GN, ed. Cardiology Secrets. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 71. Raja AS. Thoracic trauma. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. [medlineplus.gov]

Traumatic heart disease, in: zipes DP, Libby P, Bonow RO, Braunwald E, editors: braunwald's heart disease: a textbook of cardiovascular medicine. 7 th ed Philadelphia: Elsevier Saunders. 2005; 7: 1781-8. Google Scholar Guo H, Chi J, Yuan M, Qiu Y. [panafrican-med-journal.com]

Attribution Author: Eric Berlin, MD Date Written: Editor: Ballenberg, Sally, BS Edit Date: 08/31/01 Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 07/31/01 Sources Merck Manual 1999 Harrison's Principles of Internal Medicine 1991 Heart Disease: A [medicineonline.com]

(Also known as/Synonyms) Blunt Myocardial Injury Traumatic Heart Disease What is Myocardial Contusion? (Definition/Background Information) A Myocardial Contusion is a medical condition where the heart muscle becomes bruised. [dovemed.com]

Major morbidity and mortality due to myocardial contusion occurred in 17 per cent of the (7/42) patients; of these, three had biventricular dysfunction, one had left ventricular dysfunction, and two had a low cardiac index. [ncbi.nlm.nih.gov]

Such injuries usually manifest as a combination of left ventricular dysfunction and cardiogenic shock. Blunt pericardial rupture is rare but may be the most severe form of blunt cardiac injury. [aast.org]

He has jugular venous distention and muffled heart sounds. An electrocardiogram reveals diffused ST elevations and sinus tachycardia. A focused assessment with sonography in trauma (FAST) exam reveals pericardial fluid. [medbullets.com]

venous distention (right ventricular failure, tamponade) Signs of left ventricular failure: tachypnea, rales, pleural effusion, S3 (aneurysm, infarction, valvular disruption, VSD) Signs of right ventricular failure: jugular venous distention, hepatomegaly [tele.med.ru]

Cardiac contusion may be frequently found in patients with blunt chest trauma, and it presents clinically as a spectrum of injuries of varying severity, including transient disorders of impulse formation and propagation. [ncbi.nlm.nih.gov]

[…] myocardial contusion may have the following effects: bleeding into the membrane that surrounds the heart, which can cause cardiac tamponade bleeding within the heart muscle conduction problems, or an abnormality in the transmission of the electrical impulses [medicineonline.com]

Echocardiography showed global right ventricular dysfunction but a right ventricular mural thrombus, the likely source of the pulmonary emboli, was not seen. He gradually recovered after treatment with anticoagulant. [ncbi.nlm.nih.gov]

The next morning There is increased ST elevation Troponin Profile: [hqmeded-ecg.blogspot.com]

Pitfalls of polytrauma treatment in patients with ST-elevation after blunt chest trauma. Ann Med Surg (Lond). 2015 Aug 4; 4(3): 254-9. PubMed Google Scholar Hamonic Y, Biais M, Naibo D, Revel P, Sztark F. [panafrican-med-journal.com]

[…] pathcy myocyte necrosis, edema,scar formation what is the most important sequele of cardiac contrusion HYPOTENSION and ARRHYTMIA investigations of cardaic contusion ECG: pericarditis like ST elevation, RBBB; AV nodal abnormlaities cardiac markers : levels [quizlet.com]

An electrocardiogram reveals diffused ST elevations and sinus tachycardia. A focused assessment with sonography in trauma (FAST) exam reveals pericardial fluid. [medbullets.com]

The 12-lead surface ECG showed ST-elevation in lead V 3 and deep T-wave inversions across the precordial leads ( Figure 1 A). [circ.ahajournals.org]

One month later he presented with a further complication--complete atrioventricular dissociation--that required a dual chamber pacemaker implantation. [ncbi.nlm.nih.gov]

She evolved favorably, with no progression of the pericardial effusion, although electrocardiographically she presented more T-wave inversion in the anterior wall and minimal elevation of ST in I and aVL. [elsevier.es]

The 12-lead surface ECG showed ST-elevation in lead V 3 and deep T-wave inversions across the precordial leads ( Figure 1 A). [circ.ahajournals.org]

[…] short pulses of ultrasonic beam off structures; may be done as transesophageal to left ventricular procedure with transmitter inserted into esophagus (transesophageal echocardiogram) Electrocardiogram (ECG) Normal PQRST pattern ST segment depression, T-wave [medical-dictionary.thefreedictionary.com]

We conclude that young patients with minor blunt thoracic trauma and a normal or minimally abnormal ECG do not benefit from cardiac monitoring. [ncbi.nlm.nih.gov]

We conclude that young patients with minor blunt thoracic trauma and a normal or minimally abnormal ECG do not benefit from cardiac monitoring. Williams & Wilkins 1992. All Rights Reserved. [journals.lww.com]

changes without cardiac failure Penetrating tangential cardiac wound, up to but not extending through endocardium, without tamponade Grade III Blunt cardiac injury with sustained or multifocal ventricular contracations Blunt or penetrating cardiac injury [aast.org]