SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
Angiology
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by RuDusky, B. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by RuDusky, B. M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Classification of Myocardial Contusion and Blunt Cardiac Trauma

Basil M. RuDusky, MD

Northeast Cardiovascular Clinic and Research Institute, Wilkes-Barre, PA

Myocardial injury caused by blunt chest trauma has been recognized with increased frequency over the past 2 decades. Increased awareness by physicians and the increased use of various clinical and laboratory diagnostic modalities have contributed to this recognition. Injuries range from inconsequential to catastrophic and can affect any or all areas of the heart: pericardium, myocardium, coronary arteries and veins, chordae, papillary muscles, valves, and great vessels. In addition to the medical importance of the diagnosis, substantial forensic implications have been known to arise. It is important to assess and classify properly the extent of the trauma and its prognostication as to the possibility of residual sequelae. A proposed classification is presented that has both medical and legal application. The uses of stages 0 (suspect), I (mild), II (moderate), III (severe), and IV (catastrophic) are illustrated in detail.

References

  • James S.: Injury mortality. In: National Summary of Injury Mortality Data. Washington, DC: US Department of Health and Human Services; 1996.
  • Price PR, Mackenzie EJ: Cost of injury: United States: A report to congress. JAMA 262:2803-2804, 1989.[Free Full Text]
  • Pretre R., Chileott M.: Blunt trauma to the heart and great vessels. N Engl J Med 336:626-632, 1997.[Free Full Text]
  • Sutherland GR, Driedger AA, Holliday RL, et al: Frequency of myocardial injury after blunt chest trauma as evaluated by radionuclide angiography. Am J Cardiol 52:1099-1103, 1983.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • Maron BJ, Poliac LC, Kaplan JA, et al: Blunt impact to the chest leading to sudden death from cardiac arrest during sports activities. N Engl J Med 333:342-347, 1995.
  • RuDusky BM: More on myocardial contusion: With additional insight on myocardial concussion. Chest 112:570-572, 1997.[Free Full Text]
  • RuDusky BM: Cardiac contusion: a diagnostic dilemma. Angiology 48:929-930, 1997.[Web of Science][Medline] [Order article via Infotrieve]
  • RuDusky BM: Cardiac troponins in the diagnosis of myocardial contusion. Chest 109:1413-1414, 1996.[Free Full Text]
  • RuDusky BM, Cimochowski G.: Traumatic tricuspid insufficiency: A case report. Angiology 53:229-233, 2002.[Web of Science][Medline] [Order article via Infotrieve]
  • RuDusky BM: Myocardial contusion culminating in a ruptured pseudoaneurysm of the left ventricle. Angiology 54:359-362, 2003.[Web of Science][Medline] [Order article via Infotrieve]

Angiology, Vol. 58, No. 5, 610-613 (2007)
DOI: 10.1177/0003319707305687
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by RuDusky, B. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by RuDusky, B. M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Advertisement