Cardiac injury - Revision history

Danbot: Add See Also section

2026-03-22T09:25:21Z

Add See Also section

← Older revision		Revision as of 09:25, 22 March 2026
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	*[[Blunt cardiac injury]]		*[[Blunt cardiac injury]]
	*[[Penetrating cardiac injury]]		*[[Penetrating cardiac injury]]

			==See Also==
			*[[Trauma]]
			*[[Blunt cardiac injury]]
			*[[Cardiac tamponade]]

	==References==		==References==

Danbot: Add References section

2026-03-22T09:24:51Z

Add References section

← Older revision		Revision as of 09:24, 22 March 2026
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	*[[Blunt cardiac injury]]		*[[Blunt cardiac injury]]
	*[[Penetrating cardiac injury]]		*[[Penetrating cardiac injury]]

			==References==
			<references/>

	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Cardiology]]		[[Category:Cardiology]]

Rossdonaldson1: Rossdonaldson1 moved page Cardiac trauma to Cardiac injury

2019-08-17T19:56:38Z

Rossdonaldson1 moved page Cardiac trauma to Cardiac injury

← Older revision	Revision as of 19:56, 17 August 2019
(No difference)

Rossdonaldson1: Replaced content with "Blunt cardiac injury Penetrating cardiac injury Category:Trauma Category:Cardiology"

2019-08-17T19:53:58Z

Replaced content with "*Blunt cardiac injury *Penetrating cardiac injury Category:Trauma Category:Cardiology"

Show changes

Rossdonaldson1: /* Evaluation */

2019-08-17T19:47:27Z

Evaluation

← Older revision		Revision as of 19:47, 17 August 2019
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	**Combination of normal ECG and normal [[troponin]] has NPV of 100% for significant blunt cardiac injury<ref>Salim A, Velmahos GC, Jindal A, et al. Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocardiographic findings. The Journal of Trauma: Injury, Infection, and Critical Care. 2001;50(2):237-243.</ref><ref>Velmahos GC, Karaiskakis M, Salim A, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. The Journal of Trauma: Injury, Infection, and Critical Care. 2003;54(1):45–50–discussion50–1. doi:10.1097/01.TA.0000046315.73441.D8.</ref>		**Combination of normal ECG and normal [[troponin]] has NPV of 100% for significant blunt cardiac injury<ref>Salim A, Velmahos GC, Jindal A, et al. Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocardiographic findings. The Journal of Trauma: Injury, Infection, and Critical Care. 2001;50(2):237-243.</ref><ref>Velmahos GC, Karaiskakis M, Salim A, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. The Journal of Trauma: Injury, Infection, and Critical Care. 2003;54(1):45–50–discussion50–1. doi:10.1097/01.TA.0000046315.73441.D8.</ref>
	**[[Troponin]] elevation can stem from catecholamine-induced stress, hypovolemic shock with reperfusion injury, oxidative injury, bacterial or viral toxins or microcirculatory dysfunction. Look at history and patient exam findings.		**[[Troponin]] elevation can stem from catecholamine-induced stress, hypovolemic shock with reperfusion injury, oxidative injury, bacterial or viral toxins or microcirculatory dysfunction. Look at history and patient exam findings.


	===EAST GUIDELINES (2012)<ref>Screening for blunt cardiac injury: An Eastern Association for the Surgery of Trauma practice management guideline.J Trauma. 73(5):S301-S306, November 2012</ref>===		===EAST GUIDELINES (2012)<ref>Screening for blunt cardiac injury: An Eastern Association for the Surgery of Trauma practice management guideline.J Trauma. 73(5):S301-S306, November 2012</ref>===

Rossdonaldson1: /* Evaluation */

2019-08-17T19:47:13Z

Evaluation

@@ Line 57: / Line 57: @@
 ==Evaluation==
+===Workup===
 *[[CXR]]
 **Mediastinum widening is only suggestive of an aortic injury
@@ Line 91: / Line 77: @@
 blunt chest trauma. J Trauma. 2000;48(5):924-931.</ref>
 **Combination of normal ECG and normal [[troponin]] has NPV of 100% for significant blunt cardiac injury<ref>Salim A, Velmahos GC, Jindal A, et al. Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocardiographic findings. The Journal of Trauma: Injury, Infection, and Critical Care. 2001;50(2):237-243.</ref><ref>Velmahos GC, Karaiskakis M, Salim A, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. The Journal of Trauma: Injury, Infection, and Critical Care. 2003;54(1):45–50–discussion50–1. doi:10.1097/01.TA.0000046315.73441.D8.</ref>
-**Troponin elevation can stem from catecholamine-induced stress, hypovolemic shock with reperfusion injury, oxidative injury, bacterial or viral toxins or microcirculatory dysfunction. Look at history and patient exam findings.
+**[[Troponin]] elevation can stem from catecholamine-induced stress, hypovolemic shock with reperfusion injury, oxidative injury, bacterial or viral toxins or microcirculatory dysfunction. Look at history and patient exam findings.
 ==Management==

Rossdonaldson1: /* Background */

2019-08-17T19:30:50Z

Background

← Older revision		Revision as of 19:30, 17 August 2019
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	*Spectrum of disease due to blunt trauma to the chest wall - ranges from concussion to contusion to infarction to cardiac rupture and death.<ref name="El-Menyar">El-Menyar A, Al Thani H, Zarour A, Latifi R. Understanding traumatic blunt cardiac injury. Ann Card Anaesth. 2012 Oct-Dec;15(4):287-95. doi: 10.4103/0971-9784.101875.</ref>		*Spectrum of disease due to blunt trauma to the chest wall - ranges from concussion to contusion to infarction to cardiac rupture and death.<ref name="El-Menyar">El-Menyar A, Al Thani H, Zarour A, Latifi R. Understanding traumatic blunt cardiac injury. Ann Card Anaesth. 2012 Oct-Dec;15(4):287-95. doi: 10.4103/0971-9784.101875.</ref>
	[[File:Spectrum.png\|thumbnail\|Spectrum of Blunt Cardiac Injury]]		[[File:Spectrum.png\|thumbnail\|Spectrum of Blunt Cardiac Injury]]
	*Complications:<ref> Raja, A. "Thoracic Trauma." In Rosen’s Emergency Medicine., 9th ed. </ref>
	**Fatal [[arrhythmia]]s, conduction abnormalities		===Complications<ref> Raja, A. "Thoracic Trauma." In Rosen’s Emergency Medicine., 9th ed. </ref>===
	**[[CHF]]		*Fatal [[arrhythmia]]s, conduction abnormalities
	**[[Cardiogenic shock]]		*[[CHF]]
	**Hemopericardium with [[tamponade]]		*[[Cardiogenic shock]]
	**[[Cardiac rupture]]		*Hemopericardium with [[tamponade]]
	**[[valvular emergencies\|Valvular rupture]]		*[[Cardiac rupture]]
	**Intraventricular thrombi, thromboembolic phenomena		*[[valvular emergencies\|Valvular rupture]]
	**Coronary artery occlusion		*Intraventricular thrombi, thromboembolic phenomena
	**[[Ventricular aneurysm]]s		*Coronary artery occlusion
	**Constrictive [[pericarditis]]		*[[Ventricular aneurysm]]s
			*Constrictive [[pericarditis]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Background */

2019-08-17T19:30:18Z

Background

← Older revision		Revision as of 19:30, 17 August 2019
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	*Spectrum of disease due to blunt trauma to the chest wall - ranges from concussion to contusion to infarction to cardiac rupture and death.<ref name="El-Menyar">El-Menyar A, Al Thani H, Zarour A, Latifi R. Understanding traumatic blunt cardiac injury. Ann Card Anaesth. 2012 Oct-Dec;15(4):287-95. doi: 10.4103/0971-9784.101875.</ref>		*Spectrum of disease due to blunt trauma to the chest wall - ranges from concussion to contusion to infarction to cardiac rupture and death.<ref name="El-Menyar">El-Menyar A, Al Thani H, Zarour A, Latifi R. Understanding traumatic blunt cardiac injury. Ann Card Anaesth. 2012 Oct-Dec;15(4):287-95. doi: 10.4103/0971-9784.101875.</ref>
	[[File:Spectrum.png\|thumbnail\|Spectrum of Blunt Cardiac Injury]]		[[File:Spectrum.png\|thumbnail\|Spectrum of Blunt Cardiac Injury]]
	*Complications		*Complications:<ref> Raja, A. "Thoracic Trauma." In Rosen’s Emergency Medicine., 9th ed. </ref>
	**Fatal [[arrhythmia]]s, conduction abnormalities		**Fatal [[arrhythmia]]s, conduction abnormalities
	**[[CHF]]		**[[CHF]]
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	**[[Ventricular aneurysm]]s		**[[Ventricular aneurysm]]s
	**Constrictive [[pericarditis]]		**Constrictive [[pericarditis]]
	~~<ref> Raja, A. "Thoracic Trauma." In Rosen’s Emergency Medicine., 9th ed. </ref>~~

	==Clinical Features==		==Clinical Features==

ClaireLewis at 16:04, 15 August 2019

2019-08-15T16:04:42Z

← Older revision		Revision as of 16:04, 15 August 2019
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	[[File:Spectrum.png\|thumbnail\|Spectrum of Blunt Cardiac Injury]]		[[File:Spectrum.png\|thumbnail\|Spectrum of Blunt Cardiac Injury]]
	*Complications		*Complications
	**Fatal ~~arrhythmias~~		**Fatal [[arrhythmia]]s, conduction abnormalities
	**Conduction abnormalities		**[[CHF]]
	**CHF		**[[Cardiogenic shock]]
	**Cardiogenic shock		**Hemopericardium with [[tamponade]]
	**Hemopericardium with tamponade		**[[Cardiac rupture]]
	**Cardiac rupture		**[[valvular emergencies\|Valvular rupture]]
	**Valvular rupture		**Intraventricular thrombi, thromboembolic phenomena
	**Intraventricular thrombi
	**Thromboembolic phenomena
	**Coronary artery occlusion		**Coronary artery occlusion
	**Ventricular ~~aneurysms~~		**[[Ventricular aneurysm]]s
	**Constrictive pericarditis		**Constrictive [[pericarditis]]
	<ref> Raja, A. "Thoracic Trauma." In Rosen’s Emergency Medicine., 9th ed. </ref>		<ref> Raja, A. "Thoracic Trauma." In Rosen’s Emergency Medicine., 9th ed. </ref>

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	***Atrial [[Atrial_fibrillation_(main)\|fibrillation]]/[[Atrial_flutter\|flutter]]		***Atrial [[Atrial_fibrillation_(main)\|fibrillation]]/[[Atrial_flutter\|flutter]]
	**[[Myocardial infarction]] (coronary artery dissection/laceration/thrombosis)		**[[Myocardial infarction]] (coronary artery dissection/laceration/thrombosis)
	**Valvular injury (acute heart failure)		**[[Valvular emergencies\|Valvular injury]] (acute [[heart failure]])
	***Leaflet injury		***Leaflet injury
	***Rupture of papillary muscles or chordae tendineae		***Rupture of papillary muscles or chordae tendineae
	**Cardiac structural injury (septal injury, wall rupture)		**Cardiac structural injury (septal injury, [[cardiac rupture\|wall rupture]])
	*[[Commotio Cordis]]		*[[Commotio Cordis]]
	**Primary electrical event resulting in the induction of Vfib		**Primary electrical event resulting in the induction of [[Vfib]]
	**Often an innocent-appearing blow to chest wall		**Often an innocent-appearing blow to chest wall

Gregtong: /* Evaluation */

2019-08-14T02:37:54Z

Evaluation

← Older revision		Revision as of 02:37, 14 August 2019
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	blunt chest trauma. J Trauma. 2000;48(5):924-931.</ref>		blunt chest trauma. J Trauma. 2000;48(5):924-931.</ref>
	**Combination of normal ECG and normal [[troponin]] has NPV of 100% for significant blunt cardiac injury<ref>Salim A, Velmahos GC, Jindal A, et al. Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocardiographic findings. The Journal of Trauma: Injury, Infection, and Critical Care. 2001;50(2):237-243.</ref><ref>Velmahos GC, Karaiskakis M, Salim A, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. The Journal of Trauma: Injury, Infection, and Critical Care. 2003;54(1):45–50–discussion50–1. doi:10.1097/01.TA.0000046315.73441.D8.</ref>		**Combination of normal ECG and normal [[troponin]] has NPV of 100% for significant blunt cardiac injury<ref>Salim A, Velmahos GC, Jindal A, et al. Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocardiographic findings. The Journal of Trauma: Injury, Infection, and Critical Care. 2001;50(2):237-243.</ref><ref>Velmahos GC, Karaiskakis M, Salim A, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. The Journal of Trauma: Injury, Infection, and Critical Care. 2003;54(1):45–50–discussion50–1. doi:10.1097/01.TA.0000046315.73441.D8.</ref>
			**Troponin elevation can stem from catecholamine-induced stress, hypovolemic shock with reperfusion injury, oxidative injury, bacterial or viral toxins or microcirculatory dysfunction. Look at history and patient exam findings.

	==Management==		==Management==

Cardiac injury - Revision history

Danbot: Add See Also section

Danbot: Add References section

Rossdonaldson1: Rossdonaldson1 moved page Cardiac trauma to Cardiac injury

Rossdonaldson1: Replaced content with "*Blunt cardiac injury *Penetrating cardiac injury Category:Trauma Category:Cardiology"

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Background */

Rossdonaldson1: /* Background */

ClaireLewis at 16:04, 15 August 2019

Gregtong: /* Evaluation */

Rossdonaldson1: Replaced content with "Blunt cardiac injury Penetrating cardiac injury Category:Trauma Category:Cardiology"