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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.
Abstract:
Blunt cardiac injury (BCI) is defined as injuries sustained due to blunt trauma to the heart, and it remains unchanged for long time. The spectrum of BCI ranges from a minor "bruise" to specific postcontusion cardiac conditions such as free-wall rupture. This is a narrative review provides a continued and updates details regarding BCIs from 2008 to 2017. For this purpose, a narrative review of literature was conducted using appropriate database for retrieval of articles through systematic search methodology. Autopsy-based studies are very limited. It can be concluded that regardless of the variability in the spectrum of modalities and medical/surgical resources, BCIs diagnosis and management remain a puzzle and needs further prospective studies.
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