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Cardiogenic shock following blunt chest trauma.

Rodríguez-González F, Martínez-Quintana E - J Emerg Trauma Shock (2010)

Bottom Line: Traffic accidents are the most frequent cause of cardiac contusions resulting from a direct blow to the chest.Myocardial contusion is difficult to diagnose; clinical presentation varies greatly, ranging from lack of symptoms to cardiogenic shock and arrhythmia.We present a case of cardiac contusion due to blunt chest trauma secondary to a fall impact, which manifested as cardiogenic shock.

View Article: PubMed Central - PubMed

Affiliation: Intensive Medicine Service, Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain.

ABSTRACT
Cardiac contusion, usually caused by blunt chest trauma, has been recognized with increased frequency over the past decades. Traffic accidents are the most frequent cause of cardiac contusions resulting from a direct blow to the chest. Other causes of blunt cardiac injury are numerous and include violent fall impacts, interpersonal aggression, explosions, and various types of high-risk sports. Myocardial contusion is difficult to diagnose; clinical presentation varies greatly, ranging from lack of symptoms to cardiogenic shock and arrhythmia. Although death is rare, cardiac contusion can be fatal. We present a case of cardiac contusion due to blunt chest trauma secondary to a fall impact, which manifested as cardiogenic shock.

No MeSH data available.


Related in: MedlinePlus

(a) M-mode obtained from the left paraesternal long axis view reveals no interventricular septum thickness and normal contraction of the posterior wall; (b) apical four-chamber 2-D echocardiogram with apical aneurysm (arrow)
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Figure 0002: (a) M-mode obtained from the left paraesternal long axis view reveals no interventricular septum thickness and normal contraction of the posterior wall; (b) apical four-chamber 2-D echocardiogram with apical aneurysm (arrow)

Mentions: Four years after the accident, the patient is in New York Heart Association functional class II/IV and is undergoing treatment with beta blockers and angiotensin-converting enzyme inhibitors. Echocardiogram shows moderate left ventricular dysfunction (ejection fraction 37%) with persistent anteroseptal akinesia and apical aneurysm [Figure 2]. The treadmill test is clinically and electrocardiographically negative.


Cardiogenic shock following blunt chest trauma.

Rodríguez-González F, Martínez-Quintana E - J Emerg Trauma Shock (2010)

(a) M-mode obtained from the left paraesternal long axis view reveals no interventricular septum thickness and normal contraction of the posterior wall; (b) apical four-chamber 2-D echocardiogram with apical aneurysm (arrow)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2966575&req=5

Figure 0002: (a) M-mode obtained from the left paraesternal long axis view reveals no interventricular septum thickness and normal contraction of the posterior wall; (b) apical four-chamber 2-D echocardiogram with apical aneurysm (arrow)
Mentions: Four years after the accident, the patient is in New York Heart Association functional class II/IV and is undergoing treatment with beta blockers and angiotensin-converting enzyme inhibitors. Echocardiogram shows moderate left ventricular dysfunction (ejection fraction 37%) with persistent anteroseptal akinesia and apical aneurysm [Figure 2]. The treadmill test is clinically and electrocardiographically negative.

Bottom Line: Traffic accidents are the most frequent cause of cardiac contusions resulting from a direct blow to the chest.Myocardial contusion is difficult to diagnose; clinical presentation varies greatly, ranging from lack of symptoms to cardiogenic shock and arrhythmia.We present a case of cardiac contusion due to blunt chest trauma secondary to a fall impact, which manifested as cardiogenic shock.

View Article: PubMed Central - PubMed

Affiliation: Intensive Medicine Service, Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain.

ABSTRACT
Cardiac contusion, usually caused by blunt chest trauma, has been recognized with increased frequency over the past decades. Traffic accidents are the most frequent cause of cardiac contusions resulting from a direct blow to the chest. Other causes of blunt cardiac injury are numerous and include violent fall impacts, interpersonal aggression, explosions, and various types of high-risk sports. Myocardial contusion is difficult to diagnose; clinical presentation varies greatly, ranging from lack of symptoms to cardiogenic shock and arrhythmia. Although death is rare, cardiac contusion can be fatal. We present a case of cardiac contusion due to blunt chest trauma secondary to a fall impact, which manifested as cardiogenic shock.

No MeSH data available.


Related in: MedlinePlus