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Blunt cardiac injury in trauma patients with thoracic aortic injury

Rathachai Kaewlai1, Marc A de Moya, Antonio Santos

  • 1Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USA.

Emergency Medicine International
|November 3, 2011
PubMed

Insights

Trauma patients with thoracic aortic injury (TAI) have a significantly higher rate of blunt cardiac injury (BCI) compared to those without TAI. This study found BCI in 77% of TAI patients versus 35% in controls.

Area of Science:

  • Traumatology
  • Cardiology
  • Emergency Medicine

Background:

  • Blunt cardiac injury (BCI) is a common complication in trauma patients.
  • The association between thoracic aortic injury (TAI) and BCI requires further investigation.

Purpose of the Study:

  • To determine the frequency of BCI in trauma patients with TAI.
  • To compare the incidence of BCI in patients with TAI versus those without TAI.

Main Methods:

  • Retrospective review of trauma patients from January 1999 to May 2009.
  • Inclusion criteria: TAI diagnosis, admission electrocardiography (ECG), and serum creatine kinase-MB (CK-MB).
  • BCI diagnosis: positive ECG with elevated CK-MB or abnormal echocardiography.

Main Results:

  • The study group included 26 patients with TAI; 20 (77%) had BCI.
  • The control group included 52 patients without TAI; 18 (35%) had BCI.
  • A significantly higher rate of BCI was observed in patients with TAI (P < 0.001).

Conclusions:

  • Trauma patients with TAI exhibit a substantially higher incidence of BCI.
  • TAI is a significant risk factor for the development of BCI.
  • Routine cardiac evaluation is crucial for trauma patients with TAI.

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