Myocardial contusion following nonfatal blunt chest trauma

Journal Article · Fri Apr 01 04:00:00 EST 1983 · J. Trauma; (United States)

DOI:https://doi.org/10.1097/00005373-198304000-00010· OSTI ID:5686571

Kumar, S A; Puri, V K; Mittal, V K; Cortez, J

Currently available diagnostic techniques for myocardial contusion following blunt chest trauma were evaluated. We investigated 30 patients prospectively over a period of 1 year for the presence of myocardial contusion. Among the 30 patients, eight were found to have myocardial contusion on the basis of abnormal electrocardiograms, elevated creatine phosphokinase MB fraction (CPK-MB), and positive myocardial scan. Myocardial scan was positive in seven of eight patients (87.5%). CPK-MB fraction was elevated in four of eight patients (50%). Definitive electrocardiographic changes were seen in only two of eight patients (25%). It appears that myocardial scan using technetium pyrophosphate and CPK-MB fraction determinations are the most reliable aids in diagnosis of myocardial contusion following blunt chest trauma.

• Research Organization: Critical Care Center, Mt. Carmel Mercy Hospital, Detroit, Michigan
• OSTI ID: 5686571
• Journal Information: J. Trauma; (United States), Journal Name: J. Trauma; (United States) Vol. 23:4; ISSN JOTRA
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
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