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Chest trauma: evaluation by two-dimensional echocardiography.

C L Reid, D T Kawanishi, S H Rahimtoola

    American Heart Journal
    |April 1, 1987
    PubMed
    Summary
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    Two-dimensional echocardiography (2DE) is valuable for assessing cardiac complications in patients with chest injuries. This noninvasive test effectively detects pericardial effusions and other abnormalities, aiding in diagnosis and management.

    Area of Science:

    • Cardiology
    • Trauma Surgery
    • Diagnostic Imaging

    Background:

    • Chest injuries, both blunt and penetrating, can lead to diverse cardiac complications.
    • Assessing cardiac injury noninvasively is crucial for timely patient management.

    Purpose of the Study:

    • To evaluate the utility and frequency of two-dimensional echocardiography (2DE) in diagnosing cardiac complications in patients with chest trauma.
    • To determine the types of cardiac abnormalities detectable by 2DE in this patient population.

    Main Methods:

    • Retrospective review of 76 patients with suspected cardiac injury due to blunt or penetrating trauma.
    • Analysis of two-dimensional echocardiography (2DE) findings, including pericardial effusions, wall motion abnormalities, and unusual findings.
    • Assessment of the technical adequacy of 2DE studies.

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    Main Results:

    • Satisfactory 2DE studies were achievable in up to 87% of patients with chest injuries.
    • 2DE identified pericardial effusions in 27% of patients and unusual abnormalities (e.g., foreign bodies, intrathoracic air) in others.
    • Findings included no visible abnormality, pericardial effusions, and wall motion abnormalities, with varying rates in blunt versus penetrating trauma groups.

    Conclusions:

    • Two-dimensional echocardiography (2DE) provides clinically valuable information for assessing cardiac injury in chest trauma patients.
    • 2DE is a highly effective noninvasive method for detecting pericardial effusions and other specific abnormalities missed by other tests.