Traumatic blunt cardiac injuries: An updated narrative review

Rayyan Fadel1, Ayman El-Menyar2,3, Samir ElKafrawy4

  • 1Department of Surgery, Hamad General Hospital, Doha, Qatar.

Insights

Blunt cardiac injury (BCI) diagnosis and management remain challenging despite advances. Further prospective studies are needed to improve outcomes for patients with blunt trauma to the heart.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Blunt cardiac injury (BCI) encompasses a range of heart damage from trauma.
  • The spectrum of BCI includes conditions from minor bruising to severe free-wall rupture.
  • Current diagnostic and management strategies for BCI present ongoing challenges.

Purpose of the Study:

  • To provide an updated review of blunt cardiac injuries.
  • To consolidate details on BCI diagnosis and management from 2008 to 2017.
  • To identify gaps in current knowledge and research.

Main Methods:

  • A narrative review of existing literature was performed.
  • Systematic search methodology was employed for article retrieval.
  • Databases were utilized for comprehensive literature searching.

Main Results:

  • Autopsy-based studies on BCI are notably limited.
  • The review covers BCI information from 2008 to 2017.
  • Variability exists in diagnostic modalities and treatment resources.

Conclusions:

  • Diagnosis and management of blunt cardiac injury remain complex.
  • Despite varied approaches, BCI remains a diagnostic puzzle.
  • Further prospective research is essential for advancing BCI care.

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