Myocardial contusion following nonfatal blunt chest trauma

Journal Article · Fri Apr 01 00:00:00 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), Vol. 23:4
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
MYOCARDIUM
INJURIES
RADIOISOTOPE SCANNING
DIAGNOSTIC TECHNIQUES
ELECTROCARDIOGRAMS
ISOMERIC NUCLEI
PATIENTS
PERTECHNETATES
TECHNETIUM 99
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGRAMS
HEART
HOURS LIVING RADIOISOTOPES
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
MUSCLES
NUCLEI
ODD-EVEN NUCLEI
ORGANS
OXYGEN COMPOUNDS
RADIOISOTOPES
TECHNETIUM COMPOUNDS
TECHNETIUM ISOTOPES
TRANSITION ELEMENT COMPOUNDS
YEARS LIVING RADIOISOTOPES
550601* - Medicine- Unsealed Radionuclides in Diagnostics