Myocardial contusion in patients with blunt chest trauma as evaluated by thallium 201 myocardial scintigraphy
Fifty five patients suffering from blunt chest trauma were studied to assess the diagnosis of myocardial contusion using thallium 201 myocardial scintigraphy. Thirty-eight patients had consistent scintigraphic defects and were considered to have a myocardial contusion. All patients with scintigraphic defects had paroxysmal arrhythmias and/or ECG abnormalities. Of 38 patients, 32 had localized ST-T segment abnormalities; 29, ST-T segment abnormalities suggesting involvement of the same cardiac area as scintigraphic defects; 21, echocardiographic abnormalities. Sixteen patients had segmental hypokinesia involving the same cardiac area as the scintigraphic defects. Fifteen patients had clinical signs suggestive of myocardial contusion and scintigraphic defects. Almost 70 percent of patients with blunt chest trauma had scintigraphic defects related to areas of myocardial contusion. When thallium 201 myocardial scintigraphy directly showed myocardial lesion, two-dimensional echocardiography and standard ECG detected related functional consequences of cardiac trauma.
- Research Organization:
- Universite Paris VI (France)
- OSTI ID:
- 6908673
- Journal Information:
- Chest; (United States), Vol. 94:1
- Country of Publication:
- United States
- Language:
- English
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SCINTISCANNING
ELECTROCARDIOGRAMS
PATIENTS
THALLIUM 201
ULTRASONOGRAPHY
BETA DECAY RADIOISOTOPES
BODY
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
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ELECTRON CAPTURE RADIOISOTOPES
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HEAVY NUCLEI
ISOMERIC TRANSITION ISOTOPES
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RADIOISOTOPE SCANNING
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SECONDS LIVING RADIOISOTOPES
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550601* - Medicine- Unsealed Radionuclides in Diagnostics