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Myocardial Contusion Due to Ballistic Impact Force
Shaikh B Iqbal1, Ahmad Amin2, Andrew P Hill3
1Department of Medicine, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
JACC. Case Reports
|May 30, 2025
Summary
Myocardial contusion from gunshot wounds presents uniquely. Early diagnosis and management of cardiac injury complications are crucial for patient outcomes.
Area of Science:
- Cardiology
- Trauma Surgery
- Forensic Pathology
Background:
- Myocardial contusion (heart muscle bruising) usually results from blunt force trauma.
- Gunshot wounds can cause myocardial contusion via direct impact or shockwaves.
- Diagnosis is challenging due to varied presentations and lack of standardized evaluation.
Observation:
- Three unique cases of myocardial contusion following gunshot wounds are presented.
- Patients experienced gunshot wounds to the chest, arm, and hand.
- All presented with ST-segment elevation and elevated high-sensitivity troponin I levels.
Findings:
- Gunshot wounds represent an uncommon cause of myocardial contusion.
- Elevated cardiac biomarkers and ECG changes indicate myocardial injury.
- Diverse clinical presentations necessitate a thorough diagnostic approach.
Implications:
- Myocardial contusion management requires addressing cardiac injury complications.
- Ruling out emergent surgical conditions is paramount.
- This case series highlights the importance of considering myocardial contusion in penetrating cardiac trauma.
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