Emergency Medicine Book

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Cardiac Contusion

Aka: Cardiac Contusion, Blunt Cardiac Injury, Blunt Myocardial Injury, Myocardial Contusion, Heart Contusion
  1. Causes
    1. High speed injury (e.g. MVA)
  2. See Also
    1. Cardiac Tamponade
    2. Blunt Chest Trauma
    3. Lung Contusion
    4. Hemothorax
    5. Pneumothorax
    6. Traumatic Aortic Disruption
    7. Diaphragmatic Rupture
    8. Esophageal Rupture
    9. Bronchial Tear
  3. Symptoms
    1. Chest Pain
  4. Signs
    1. Hypotension
  5. Labs
    1. Troponin
      1. Increased in Cardiac Contusion
  6. Diagnostics
    1. Electrocardiogram (EKG)
      1. See EKG monitoring in Trauma
      2. Premature Ventricular Contractions (PVC)
      3. Unexplained Sinus Tachycardia
      4. Atrial Fibrillation
      5. Right Bundle Branch Block
      6. ST Segment changes
        1. Myocardial Infarction may occur in blunt cardiac Trauma
    2. Advanced hemodynamic monitoring (if central access)
      1. Central Venous Pressure increased
  7. Imaging
    1. FAST Exam
      1. Pericardial Effusion
    2. Echocardiogram
      1. Wall motion abnormality
  8. Differential Diagnosis
    1. See Blunt Chest Trauma
    2. See associated conditions below
    3. Rib Fracture
  9. Associated Conditions
    1. Heart Injury
      1. Valve Rupture
      2. Coronary Artery Dissection
      3. Cardiac Chamber Rupture
      4. Cardiac Tamponade
    2. Other Chest Injury
      1. Lung Contusion
      2. Hemothorax
      3. Pneumothorax
      4. Traumatic Aortic Disruption
      5. Diaphragmatic Rupture
      6. Esophageal Rupture
      7. Bronchial Tear
  10. Management
    1. ABC Management
    2. Manage Hypoxia, Hypotension and identified complications
    3. Indications for observation (24 hour)
      1. Electrocardiogram abnormalities
  11. References
    1. (2012) ATLS, ACOS, p. 105
    2. Killu and Sarani (2016) FCCS, p. 160-1

Contusion to heart (C0273112)

Definition (NCI_FDA) A bruise to the heart.
Definition (NCI) A bruise to the heart.
Concepts Injury or Poisoning (T037)
ICD10 S26.81
SnomedCT 210054006, 17414004
English Myocardial Contusion, myocardial contusion (diagnosis), myocardial contusion, cardiac contusions, cardiac contusion, contusion heart, contusions heart, heart contusion, CONTUSION, MYOCARDIAL, MYOCARDIAL CONTUSION, CARDIAC CONTUSION, CONTUSION, CARDIAC, Cardiac contusion, Contusion to heart, Myocardial contusion, Contusion of heart, Contusion to heart (disorder)
Czech Konture srdce, Kontuze myokardu
Dutch myocardcontusie, hartkneuzing
French Contusion myocardique, Contusion cardiaque
German Herzkontusion, Myokardprellung
Hungarian Szív-contusio, Myocardialis contusio
Italian Contusione miocardica, Contusione cardiaca
Japanese ｼﾝｿﾞｳｻﾞｼｮｳ, ｼﾝｷﾝｻﾞｼｮｳ, 心筋挫傷, 心臓挫傷
Portuguese Contusão cardíaca, Contusão miocárdica
Spanish Contusión cardiaca, Contusión miocárdica, contusión cardíaca, contusión miocárdica (trastorno), contusión miocárdica
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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