+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Heart trauma: Myocardial involvement following a non-penetrating injury to the chest



Heart trauma: Myocardial involvement following a non-penetrating injury to the chest



Ann Internal Med 27(1): 126-134



The case of a 34 yr. old airplane pilot is discussed who suffered a severe crushing but non-penetrating injury to the chest during a forced landing. The case was of interest because 1) a non-penetrating trauma was capable of causing substantial though transient myocardial injury; 2) myocardial involvement was not readily apparent before the 3d hospital day, and the peak of the ecg. changes occurred during the 2d wk. following the accident; 3) the ecg. changes were confined to the final portion of the T wave; and 4) these were seen only in precor-dial leads V1] to V3. The resulting lesion was judged to be superficial because of the absence of demonstrable S-T displacement. It was thought to involve the epicardial layers because the pattern obtained was similar in many respects to the changes observed in certain stages of pericarditis. The location of the lesion made its detection possible only by the use of multiple precordial leads. These, in addition, allowed some insight into the progression, extension, and involution of the process.

(PDF emailed within 1 workday: $29.90)

Accession: 024771949

Download citation: RISBibTeXText


Related references

Heart trauma; myocardial involvement (contusion) following a non-penetrating injury to the chest (airplane accident). Annals of Internal Medicine 27(1): 126-134, 2011

FAST (focused assessment with sonography in trauma) accurate for cardiac and intraperitoneal injury in penetrating anterior chest trauma. Journal of Ultrasound in Medicine 23(4): 467-472, 2004

Myocardial infect following non-penetrating chest trauma. Nordisk Medicin 44(28): 1141-1143, 1950

Heart injury--a general surgical emergency. An account of 2 cases of penetrating chest injury involving the heart. Postgraduate Medical Journal 35: 554-557, 1959

Tracheobronchial injury in blunt and penetrating chest trauma. Chest 106(1): 74-78, 1994

It's not cricket! Myocardial infarction following non-penetrating blunt chest trauma. British Journal of Clinical Practice 48(6): 338-339, 1994

Rupture of the heart due to non-penetrating chest trauma. Journal of Cardiovascular Surgery 16(1): 16-20, 1975

Isolated thoracic duct injury after penetrating chest trauma. Annals Of Thoracic Surgery. 60(2): 272-274, 1995

Blunt trauma with flail chest and penetrating aortic injury. European Journal of Cardio-Thoracic Surgery 16(3): 374-377, 1999

Injury of the pulmonary artery and its branches due to penetrating chest trauma. Annals of Vascular Surgery 14(5): 463-467, 2000

Fatal myocardial infarction in hypertrophic cardiomyopathy associated with non-penetrating chest trauma. International Journal of Cardiology 33(2): 317-319, 1991

Injury of the coronary artery following non-penetrating chest trauma--a case report. Nihon Kyobu Geka Gakkai 42(4): 593-597, 1994

Penetrating chest trauma secondary to a composite hockey stick injury. Cjem 8(6): 437-440, 2007

Non penetrating chest injury as a cause of myocardial infarction. Archivos del Instituto de Cardiologia de Mexico 56(5): 425-432, 1986

Severe heart laceration in penetrating chest trauma: thoracoscopy as a key to diagnosis. Interactive Cardiovascular and Thoracic Surgery 2(3): 270-272, 2007