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Trauma Associated with Cardiac Conduction Abnormalities: Population-Based Perspective, Mechanism and Review of

Rovshan M Ismailov1,2

  • 1Department of Population Health, Cancer Care Ontario, Toronto, ON, Canada. rovshani@yahoo.com.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed

Insights

Trauma, including blunt cardiac injury (BCI) and thoracic trauma, significantly increases the risk of cardiac conduction abnormalities like right bundle branch block (RBBB). This population-based study highlights trauma

Area of Science:

  • Cardiology
  • Trauma Medicine
  • Epidemiology

Background:

  • Cardiac conduction abnormalities are frequently reported following trauma.
  • Previous research primarily consists of case reports.

Purpose of the Study:

  • To investigate the association between thoracic and cardiac trauma and cardiac conduction abnormalities.
  • To analyze this association in a large hospitalized population.

Main Methods:

  • Utilized ICD-9-CM discharge diagnoses from 986 hospitals across 33 states in 2001.
  • Identified cases with trauma and cardiac conduction disorders.

Main Results:

  • Blunt cardiac injury (BCI) showed a threefold increased risk for cardiac conduction abnormalities (95% CI 2.45-4.51).
  • Both BCI and thoracic trauma were significantly associated with right bundle branch block (RBBB) (OR 6.04, 95% CI 3.77-9.67 and OR 1.75, 95% CI 1.38-2.23, respectively).
  • Associations remained significant after controlling for confounding factors.

Conclusions:

  • Trauma significantly impacts cardiac conduction, with BCI posing a substantial risk.
  • This population-based study provides insights into the mechanisms of traumatic cardiac events.
  • Findings may aid in improving prognoses for patients with cardiac or thoracic injuries.
Abstract

Keywords:
Conduction disordersMechanism of traumaTrauma

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