Preview

General Reanimatology

Advanced search

Cardiac Contusion: Unsolved Problems of Theory and Practice

https://doi.org/10.15360/1813-9779-2008-6-76

Abstract

Analysis of the data available in the literature has made it possible to identify a range of the unsolved issues of theory and practice of cardiac contusion, which include no clear data on the prevalence of this pathology due to the use of various diagnostic standards; no rather specific lifetime diagnostic methods for cardiac contusion; no exact diagnostic criteria or contribution of cardiac lesions to the injury severity scale; no clarity in the understanding the nature of myocardial dysfunction that is responsible for cardiac events of heart contusion; difficulties in the diagnosis of the latter as a predictor of the development of complications and their prediction; no pathogenetically founded approaches to treating just cardiac lesions. Key words: cardiac contusion, epidemiology, clinical picture, diagnosis, complications, treatment, review of literature.

About the Author

O. V. Korpacheva



References

1. Белобородов А. А.

2. Жиго П. Г., Селезов Е. А., Поликарпов Л. С.Клинические и электрокардиографические проявления повреждения сердца у больных с закрытой травмой груди. Сиб. мед. журн. 2004; 3: 85—88.

3. Русская Л. В.Выявление больных с ушибом сердца и перспективой развития ХСН по материалам приемного отделения. Сердце 2007; 3 (35): 154—155.

4. Селезов Е. А., Белобородов А. А., Поликарпов Л. С.Осложнения и летальность при закрытой травме сердца. Сиб. мед. образование 2007; 1: 19—22.

5. Ru Dusky B. M.Myocardial contusion culminating in a ruptured pseudoaneurysm of the left ventricle — a case report. Angiology 2003; 54: 356—362.

6. Скородумова Е. А., Мажара Ю. П.Функциональная диагностика ушибов сердца: Пособие для врачей. СПб.: НИИ скорой помощи им. И. И. Джанелидзе; 2000.

7. Hill G., Davies K.Blunt chest trauma: a challenge to accident and emergency nurses. Accid. Emerg. Nurs. 2002; 10: 197—204.

8. Schwab R. A.Myocardial contusion. www. trombosis-consult. com/arti-cles/Textbook/77_myocardial contusion. html

9. Pretre R., Chilcott M.Blunt trauma to the heart and great vessels. New Engl. J. Med. 1997; 27: 626—632.

10. Lindstaedt M., Germing A., Lawo T. et al.Acute and long-term clinical significance of myocardial contusion following blunt thoracic trauma: results of a prospective study. J. Trauma 2002; 52 (3): 479—485.

11. Tiao G. M., Griffith P. M., Szmuszkovicz J. R., Mahour G. H.Cardiac and great vessel injuries in children after blunt trauma: an institutional review. J. Pediatr. Surg. 2000; 35: 1656—1660.

12. Chataline A., Agnew T. M., Graham K. J. et al.Blunt chest trauma and the heart. N. Z. Med. J. 1999; 112: 334—336.

13. Darok M., Beham-Schmid C., Gatternig R., Roll P.Sudden death from myocardial contusion following an isolated blunt force trauma to the chest. Int. J. Legal. Med. 2001; 115: 85—89.

14. Potkin R. T., Werner J. A., Trobaugh G. B. et al.Evaluation of non-invasive test cardiac damage in suspected cardiac contusion. Circulation 1982; 66: 627—632.

15. Orliaquent G., Ferjani M., Riou B.The heart in blunt trauma. Anestesiology 2001; 95 (2): 544—548.

16. Relos R., Hasinoff I., Beilman G.Moderately elevated serum troponin concentrations are associated with increased morbidity and mortality rates in surgical intensive care unit patients. Crit. Care Med. 2003; 31 (11): 2598—2603.

17. Thalheimer U.Clinically significant contusive heart injury: diagnostic and prognostic rules of screening. Ital. Heart J. 2002; 3: 1079—1084.

18. Pereyo J. E., Garsia-Palmieri M. R.La troponina cardiaca; marsador bio-logico para el diagnostico de neerosis miocardia. Puerto Rico Health Sci. J. 2004; 23 (4): 301—305.

19. Collins J. N., Cole F. J., Weireter L. J. et al.The usefulness of serum tro-ponin levels in evaluating cardiac injury. Am. Surg. 2001; 67: 821—825.

20. Sybrandy K. S., Cramer M. J., Burgersdijk C.Diagnosing cardiac contusion: old wisdom and new insights. Heart 2003; 89: 485—489.

21. Velmahos G. C., Karaiskakis M., Salim A. et al.Normal electrocardiogra-phy and serum troponin levels preclude the presence of clinically significant blunt cardiac injury. J. Trauma 2003; 54: 45—50.

22. Hossack K. F., Moreno C. A., Vanway C. W. et al.Frequency of cardiac contusion in nonpenetrating chest injury. Am. J. Card. 1988; 17: 890—896.

23. Mori F., Zuppiroli A., Ognibene A. et al.Cardiac contusion in blunt chest trauma: a cjmbined study of transesophageal echocardiography and cardiac troponin I determination. Ital. Heart J. 2001; 2: 222—227.

24. Salehian O., Teor K., Mulji A.Blunt and penetrating cardiac trauma: a review. Can. J. Cardiol. 2003; 19: 1054—1059.

25. Salim A., Velmahos G. C., Jindal A. et al.Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocar-diographic findings. J. Trauma 2001; 50: 237—243.

26. BertinchantJ. P., Polge A., Mohty D. et al.Evaluation of incidence, clinical significance, and prognostic value of circulating cardiac troponin I and T elevation in hemodinamically stable patients with suspected myocardial contusion after blunt chest trauma. J. Trauma 2000; 48: 924—931.

27. Elie M.-C.Blunt cardiac injury. Maunt. Sinai J. Med. 2006; 73 (2): 542—552.

28. Pooler C., Barkman A.Myocardial Injury: contrasting infarction and contusion. Critical. Care Nurse 2002; 22 (1): 15—26.

29. Стажадзе Л. Л., Спиридонова Е. А., Лачаева М. А. и др.Информационная ценность ЭКГ у пострадавших с закрытой травмой груди на догоспитальном этапе. Вестн. интенс. терапии 2005; 2: 51—55.

30. Ботолова Е. Н., Стажадзе Л. Л., Буланова Н. А., Лачаева М. А.Дифференциальный диагноз изменений ST-T волн ЭКГ в практике врача скорой медицинской помощи. Мед. крит. состояний 2006; 1: 34—39.

31. Plautz C. U., Perron A. D., Brady W. J.Electrocardiographic ST-segment elevation in the trauma patient: acute myocardial infarction vs myocar-dial contusion. Am. J. Emerg. Med. 2005; 23 (4): 510—516.

32. Sybrandy K. S., Oosterom L., Burgersdijk C. et al.Unexplained right ventricle dilatation clarified by a cardiac contusion many years ago. Ned. Tijdschr. Geneeskd. 2001; 145: 2443—2446.

33. Савченко С. В.Патоморфология и судебно-медицинская оценка эндокарда и миокарда при ушибах сердца: автореф. дис. … д-ра мед. наук. Новосибирск; 2002.

34. Лачаева М. А.Диагностика и интенсивная терапия закрытой тупой травмы сердца на догоспитальном этапе: автореф. дис. . канд. мед. наук. М.: 2006.

35. Ковалева М. А.Патоморфологическая оценка адренергических волокон и кровоизлияний в миокарде, а также клеток мозгового вещества надпочечников при ушибе сердца: автореф. . канд. мед. наук. Новосибирск; 2006.

36. Walsh P., Marks G., Aranguri C. et al.Use of V4R in patients who sustain blunt chest trauma. J. Trauma 2001; 51: 60—63.

37. Vignon P., Boncoeur M. P., Rambaud G. et al.Comparison of multiplane transesophageal echocardiography and contrast-enhanced helical CT in the diagnosis of blunt traumatic cardiovascular injuries. Anesthesiology 2001; 94: 615—622.

38. Mandavia D. P., Hoffner R.J., Mahaney K. et al.Bedside echocardiogra-phy by emergency physicians. Ann. Emer. Med. 2001; 38 (4): 377—382.

39. Ghershin E., Khoury A., Litmanovich D. et al.Comprehensive multide-tector computed tomography assessment of severe cardiac contusion in pediatric patient: correlation with echocardiography. J. Comput. Assist. Tomogr. 2005; 29 (6): 739—741.

40. Omert L., Yeaney W. W., Protetch J.Efficacy of thoracic computerized tomography in blunt chest trauma. Am. Surg. 2001; 67: 660—664.

41. Lancey R. A., Monahan T. S.Correlation of clinical characteristics and outcomes with injury scoring in blunt cardiac trauma. J. Trauma 2003; 54: 509—515.

42. Penney D. J., Bannon P. G., Parr M. R.Intra-aortic ballon counterpulsa-tion for cardiogenic shock due to cardiac contusion in an elderly trauma patient. Resuscitation 2002; 55: 337—340.

43. Garcia-Fernandez M. A., Lopez-Perez J. M., Perez-Castellano N. et al.Role of transesophagal echocardiography in the assessment of patients with blunt chest trauma: correlation of echocardiographic findings with the electrocardiogram and creatine kinase monoclonal antibody measurements. Am. Heart J. 1998; 135: 476—481.

44. Van Beeck^d.) Priorities in injury epidemiology. Eur. J. Epidemiol. 2004; 19 (5): 401—403.

45. Nagy K. K., Krosner S. M., Roberts R. R. et al.Determining which patients require evaluation for blunt cardiac injury following blunt chest trauma. World J. Surg. 2001; 25: 108—111.

46. Niedeggen A., Wirtz P.Ventricular fibrillation in 27-year-old patient with heart contusion. Med. Klin. (Munich) 2002; 97: 410—413.

47. Sakka S. G., Huettemann E., Giebe W., Reinhart K.Late cardiac arrhythmias after blunt chest trauma. Intens. Care Med. 2000; 26: 792—795.

48. Ismailov R. M., Weiss H. B., Ness R. B. et al.Blunt cardiac injury associated with cardiac valve insufficiency: trauma links to chronic disease? Injury 2005; 36 (9): 1022—1028.

49. Moore J. E.Acute apical myocardial infarction after blunt chest trauma incurred during a basketball game. J. Am. Board Fam. Pract. 2001; 14: 219—222.

50. Meaudre E., Goutorbe P., Boret H. et al.Nitric oxide inhalation is useful in the management of right ventricular failure caused by myocardial contusion. Acta Anaesth. Scand. 2005; 49 (3): 415—417.

51. Tsoukas A., Andreades A., Zacharogiannis C. et al.Myocardial contusion as acute myocardial infarction after chest trauma. Electrocardiography 2001; 18: 167—170.

52. Новоселов В. П., Савченко С. В.Патоморфология эндокарда и миокарда при ушибах сердца. Суд. мед. 2005; 5: 3—7.

53. Wang N. D., Stevens M. H., Doty D. B., Hammond E. H.Blunt chest trauma: an experimental model for heart and lung contusion. J. Trauma 2003; 54: 744—748.

54. Link M. S., Wang P. J., Pandian N. G. et al.An experimental model of sudden death due to low energy chest wall impact. N. Eng. J. Med. 1998; 338: 1805—1811.

55. Girolami A., Little R. A., Fox B. A., Dark P. M.Hemodynamic responses to fluid resuscitation after blunt trauma. Crit. Care Med. 2002; 30: 385—392.

56. Maxwell R. A., Gibson J. B., Fabian T. C. et al.Noninvasive cardiac output by partial CO2rebreathing after severe chest trauma. J. Trauma 2001; 51: 849—8532.

57. Gang Xu, Ri-Hui Liu, Da-Xing Liu et al.Disi junyi daxue xuebao. J. Forth Milit. Med. Univ. 2004; 25 (17): 1575—1577.

58. BertinchantJ. P., Robert E., de la CoussayeJ. E. et al.Release kinetics cardiac troponin I and cardiac troponin T in effluents from isolated perfused rabbit hearts after graded experimental myocardial contusion. J. Trauma 1999; 47: 474—480.

59. Meier R., Van Griensven M., Pape H. C. et al.Effects of cardiac contusion in isolated perfused rat hearts. Shock 2003; 19: 123—126.

60. Новоселов В. П., Савченко С. В., Лукашевич М. А.Теоретическое обоснование возникновения острой сердечно-сосудистой недостаточности при ушибах сердца. Актуал. вопр. суд. мед. и экспертной практики 2003; 8: 161—166.


Review

For citations:


Korpacheva O.V. Cardiac Contusion: Unsolved Problems of Theory and Practice . General Reanimatology. 2008;4(6):76. (In Russ.) https://doi.org/10.15360/1813-9779-2008-6-76

Views: 1461


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)