Blunt Cardiac Injury
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Blunt cardiac injury most commonly results from motor vehicle crash (80–90%), but can occur following virtually any trauma to the chest, including cardiopulmonary resuscitation. Injury to the heart accounts for nearly 20% of road traffic fatalities; approximately one half of patients die in the prehospital phase. Improvements in prehospital management and transport are resulting in more patients reaching hospitals alive, but they often arrive in extremis. However, even busy trauma centers see only a limited number of such patients each year. Consequently, the trauma surgeon must be quick to recognize and treat cardiac injuries to salvage these critically injured patients.
KeywordsCardiac Injury Blunt Chest Trauma Pericardial Tamponade Ventricular Septal Rupture Intraaortic Balloon Pump
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- Bertinchant JP, Polge A, Moihty D, et al. Evaluation of incidence, clinical significance, and prognostic value of cirulating cardiac troponin I and T elevation in hemodynamically stable patients with suspected myocardial contusion after blunt chest trauma. J Trauma 2000; 48:924–931.PubMedCrossRefGoogle Scholar