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- Marie-Carmelle Elie.
- Division of Emergency Medicine, Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, USA. eliema@umdnj.edu
- Mt. Sinai J. Med. 2006 Mar 1;73(2):542-52.
AbstractThe diagnosis and management of blunt cardiac injury, formerly known as myocardial contusion, has challenged clinicians for decades. Caused primarily by motor vehicle collisions, significant blunt cardiac injury carries a high mortality rate. Yet no reliable diagnostic test exists to identify those patients at greatest risk for an adverse outcome. A literature search using the MEDLINE database was performed to compose a review of epidemiology, diagnostic intervention, and therapeutic approach. The results of the search indicate that, along with a high index of suspicion, utilizing a combination of electrocardiogram, troponin, and echocardiography for appropriate patients may improve the diagnosis, risk stratification and disposition of patients sustaining blunt cardiac injury.
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