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Titolo:
CONTUSIO CORDIS - DIAGNOSED TOO RARELY
Autore:
HOPPE UC; ERDMANN E;
Indirizzi:
UNIV COLOGNE,INNERE MED KLIN 3,JOSEPH STELZMANN STR 9 D-50924 COLOGNEGERMANY
Titolo Testata:
Medizinische Klinik
fascicolo: 7, volume: 92, anno: 1997,
pagine: 444 - 446
SICI:
0723-5003(1997)92:7<444:CC-DTR>2.0.ZU;2-1
Fonte:
ISI
Lingua:
GER
Soggetto:
BLUNT CHEST TRAUMA; MYOCARDIAL CONTUSION; CARDIAC TRAUMA; HEART; ECHOCARDIOGRAPHY; COMPLICATIONS; SURGERY; INJURY; ARREST;
Keywords:
CARDIAC CONTUSION; BLUNT CHEST TRAUMA; MYOCARDIAL BIOPSY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
U.C. Hoppe e E. Erdmann, "CONTUSIO CORDIS - DIAGNOSED TOO RARELY", Medizinische Klinik, 92(7), 1997, pp. 444-446

Abstract

Background: Myocardial contusion is the most common injury caused by blunt chest trauma. Cardiac contusion often does not produce significant symptoms and, thus, remains unrecognized. Case Report: A 29-year-old professional ice-hockey player presented with a tachyarrhythmia two days after having suffered a thoracic trauma. Two weeks prior to admission he had had an influenza-like infection. Non-invasive diagnostic methods were normal. However, cardiac catheterization revealed an kinesis of the left ventricular anterior wall in the absence of any coronary artery lesions. Endomyocardial biopsy did not show any evidence of myocarditis but erythrocyte extravasations in the endo- and myocardium,thus, confirming the diagnosis of cardiac contusion. Three months later, left ventriculography and coronary angiography did neither demonstrate any abnormalities of ventricular contraction nor of the coronary vessels. Conclusion: Myocardial contusion is still being rarely diagnosed after sporting accidents. Cardiac contusion is a benign disorder in most patients. However, due to its potentially lethal outcome and assequelae may present later after the trauma, early and precise diagnosis is important, both from the clinical point of view as well as for future insurance requests. Thus, invasive diagnostic techniques shouldbe performed when non-invasive examinations do not provide a conclusive diagnosis.

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Documento generato il 21/09/20 alle ore 06:40:51