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myocardial contusion
Etiology:
- blunt trauma
- motor vehicle accidents
- cardiopulmonary resuscitation
- falling from height > 20 feet
Clinical manifestations:
- symptoms
- chest pain, rib pain
- palpitations
- light-headedness
- nausea
- dyspnea
- weakness
- signs
- bruises on chest wall
- tachycardia
- cardiac arrhythmia
- hypotension
- vomiting
- splinting if rib fracture
Laboratory:
- serum troponin-I
- serum CKMB
Special laboratory:
- electrocardiogram
- echocardiogram
Radiology:
- chest X-ray
- computed tomography of thorax
Management:
- pain management
- treat compications
- prognosis: complete recovery usually follows mild cardiac contusion
General
contusion (bruise)
myocardial injury
References
- MedlinePlus: Myocardial contusion
http://www.nlm.nih.gov/medlineplus/ency/article/000202.htm
- Sybrandy KC et al
Diagnosing cardiac contusion: old wisdom and new insights.
Heart. 2003 May;89(5):485-9.
PMID: 12695446
- Myocardial contusion: University of Maryland
http://www.umm.edu/ency/article/000202.htm