Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cardiac injury after chest trauma.

I L Kron, P M Cox

    Critical Care Medicine
    |July 1, 1983
    PubMed
    Summary

    Severe chest trauma often causes minor cardiac injury, but rarely myocardial contusion. Elevated cardiac enzymes are common, but myocardial isoenzymes help distinguish contusion. Traumatic pericarditis can occur without ECG changes.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Receptor for advanced glycation end products (RAGE) on iNKT cells mediates lung ischemia-reperfusion injury.

    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2013
    Same author

    Highly contrasting effects of different climate forcing agents on terrestrial ecosystem services.

    Philosophical transactions. Series A, Mathematical, physical, and engineering sciences·2011
    Same author

    Indirect radiative forcing of climate change through ozone effects on the land-carbon sink.

    Nature·2007
    Same author

    Detection of a direct carbon dioxide effect in continental river runoff records.

    Nature·2006
    Same author

    Surgical treatment of the failing heart.

    Minerva cardioangiologica·2005
    Same author

    Risk-stratified approach to hybrid transcatheter-surgical palliation of hypoplastic left heart syndrome.

    Pediatric cardiology·2005

    Area of Science:

    • Emergency Medicine
    • Cardiology
    • Trauma Surgery

    Background:

    • Severe chest trauma frequently leads to cardiac injury.
    • Diagnostic evaluation of cardiac injury in trauma is crucial.
    • Understanding the utility of diagnostic studies is important.

    Purpose of the Study:

    • To evaluate the frequency of significant cardiac injury in severe chest trauma.
    • To determine the usefulness of diagnostic studies for cardiac injury.
    • To differentiate myocardial contusion from other cardiac injuries.

    Main Methods:

    • Prospective study of 50 consecutive patients with severe chest trauma.
    • Assessment of cardiac enzymes and electrocardiograms (ECGs) on admission.
    • Monitoring for persistent ECG changes and complications.

    Main Results:

    • 49/50 patients had elevated cardiac enzymes; 26/50 had abnormal ECGs.
    • Persistent ECG changes (>48h) occurred in only 3 patients.
    • 5 patients developed significant pericarditis, 2 without ECG abnormalities.

    Conclusions:

    • Minor cardiac injury is common in severe chest trauma.
    • Myocardial isoenzymes are useful in diagnosing myocardial contusion.
    • Traumatic pericarditis can occur without ECG changes and requires consideration in unstable patients.

    Related Experiment Videos