Attention: Cardiac contusion; [Dikkat: Kardiyak kontüzyon]

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dc.contributor.authorGürmen E.S.
dc.contributor.authorTulay C.M.
dc.date.accessioned2024-07-22T08:05:16Z
dc.date.available2024-07-22T08:05:16Z
dc.date.issued2022
dc.description.abstractBACKGROUND: The objective of the study is to investigate diagnostic and clinical processes performed for cardiac contusion in patients with blunt thoracic trauma. METHODS: This study was conducted retrospectively on 65 patients admitted with isolated blunt thoracic trauma to the Emergency Medicine Department. The CT images, the cardiac enzyme levels, the periodic 4-h follow-up electrocardiography (ECGs) in the emergency department, and the results of echocardiography, performed at admission and when required according to the clinical status, were investigated. The 1-h and 4-h high-sensitivity troponin I levels were studied, and values above 0.04 ng/ml were considered as positive. RESULTS: Sixty-five patients with isolated thoracic trauma were included in the study, 23 (35.38%) had pulmonary and cardiac contusions both. In 23 (35.38%) patients, pulmonary contusion had been present, and cardiac contusion had not been identified at the initial evaluation. However, during clinical follow-up, troponin became positive, dysrhythmia developed, and the trauma affected the heart in four of these patients. In six (9.24%) patients, cardiac contusion was identified without pulmonary contusion. In 13 (20%) patients, no cardiac or pulmonary contusion was identified. troponin elevation was detected in 10 patients without a diagnosis of cardiac contusion who had a pulmonary contusion, hemothorax, and/or pneumothorax at the time of hospital admission and then with normal troponin levels at 4-h control. We found that there was a statistical agreement between cardiac contusion and troponin-ECG results at 4th h. CONCLUSION: We advise that all blunt thoracic trauma patients should be screened for cardiac contusion by continuous ECG monitoring and troponin levels. @ 2022 Turkish Association of Trauma and Emergency Surgery.
dc.identifier.DOI-ID10.14744/tjtes.2021.11290
dc.identifier.issn1306696X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/13069
dc.language.isoEnglish
dc.publisherTurkish Association of Trauma and Emergency Surgery
dc.rightsAll Open Access; Green Open Access
dc.subjectAttention
dc.subjectContusions
dc.subjectHumans
dc.subjectLung Injury
dc.subjectMyocardial Contusions
dc.subjectRetrospective Studies
dc.subjectThoracic Injuries
dc.subjectTroponin I
dc.subjectWounds, Nonpenetrating
dc.subjecttroponin I
dc.subjecttroponin I
dc.subjectadult
dc.subjectaged
dc.subjectangiography
dc.subjectArticle
dc.subjectcardiogenic shock
dc.subjectcomorbidity
dc.subjectcomputer assisted tomography
dc.subjectcoronary artery obstruction
dc.subjectechocardiography
dc.subjectelectrocardiography
dc.subjectfemale
dc.subjectfollow up
dc.subjectheart arrest
dc.subjectheart arrhythmia
dc.subjectheart contusion
dc.subjectheart ejection fraction
dc.subjecthematopneumothorax
dc.subjecthematothorax
dc.subjecthuman
dc.subjecthypotension
dc.subjectlung contusion
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectpericardial effusion
dc.subjectpericardiocentesis
dc.subjectpneumothorax
dc.subjectretrospective study
dc.subjectrib fracture
dc.subjectST segment elevation
dc.subjectsternum fracture
dc.subjectsupraventricular tachycardia
dc.subjecttachycardia
dc.subjectthorax injury
dc.subjecttraffic accident
dc.subjectvery elderly
dc.subjectattention
dc.subjectblunt trauma
dc.subjectcontusion
dc.subjectdiagnostic imaging
dc.subjectheart contusion
dc.subjectlung injury
dc.subjectthorax injury
dc.titleAttention: Cardiac contusion; [Dikkat: Kardiyak kontüzyon]
dc.typeArticle

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