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. 1974 Oct;180(4):452–459. doi: 10.1097/00000658-197410000-00010

Cardiac Trauma: Clinical and Experimental Correlations of Myocardial Contusion

Donald B Doty, Alan E Anderson, Earl F Rose, Raymundo T Go, Chiang L Chiu, J L Ehrenhaft
PMCID: PMC1344121  PMID: 4412327

Abstract

Clinical and experimental observations in myocardial contusion have been correlated. Cardiac arrhythmia is always an important consequence and may be fatal. Reduction in cardiac output often accompanies significant cardiac injury. The coronary arterial circulation is not interrupted and is generally enhanced to the area of injury. Healing of the injury under these circulatory conditions may result in patchy scarring and peculiar adynamic areas of myocardium. Early diagnosis of myocardial contusion may be aided using radionuclide imaging with 99mTc-Sn-polyphosphate.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BLUMGART H. L., ZOLL P. M. The experimental production of intercoronary arterial anastomoses and their functional significance. Circulation. 1950 Jan;1(1):10-27, pl. doi: 10.1161/01.cir.1.1.10. [DOI] [PubMed] [Google Scholar]
  2. BURCHELL H. B. Unusual forms of heart disease. Circulation. 1954 Oct;10(4):574–579. doi: 10.1161/01.cir.10.4.574. [DOI] [PubMed] [Google Scholar]
  3. Beckman D. L., Friedman B. A. Mechanics of cardiothoracic injury in primates. J Trauma. 1972 Jul;12(7):620–629. doi: 10.1097/00005373-197207000-00011. [DOI] [PubMed] [Google Scholar]
  4. Blair E., Topuzlu C., Davis J. H. Delayed or missed diagnosis in blunt chest trauma. J Trauma. 1971 Feb;11(2):129–145. doi: 10.1097/00005373-197102000-00005. [DOI] [PubMed] [Google Scholar]
  5. Bonte F. J., Parkey R. W., Graham K. D., Moore J., Stokely E. M. A new method for radionuclide imaging of myocardial infarcts. Radiology. 1974 Feb;110(2):473–474. doi: 10.1148/110.2.473. [DOI] [PubMed] [Google Scholar]
  6. Chung E. K., Renn J. Electrocardiographic changes in nonpenetrating trauma to the chest. Acta Cardiol. 1970;25(4):418–423. [PubMed] [Google Scholar]
  7. Clark T. A., Corcoran F. H., Baker W. P., Mills M. Early repair of traumatic ventricular septal defect. J Thorac Cardiovasc Surg. 1974 Jan;67(1):121–124. [PubMed] [Google Scholar]
  8. DEMUTH W. E., Jr, ZINSSER H. F., Jr MYOCARDIAL CONTUSION. Arch Intern Med. 1965 Apr;115:434–442. doi: 10.1001/archinte.1965.03860160060010. [DOI] [PubMed] [Google Scholar]
  9. Lasky I. I., Nahum A. M., Siegel A. W. Cardiac injuries incurred by drivers in automobile accidents. J Forensic Sci. 1969 Jan;14(1):13–33. [PubMed] [Google Scholar]
  10. MAUTZ F. R. Anatomical and physiological considerations in the development of a collateral circulation to the myocardium. Dis Chest. 1957 Mar;31(3):265–285. doi: 10.1378/chest.31.3.265. [DOI] [PubMed] [Google Scholar]
  11. MORITZ A. R. Trauma, stress, and coronary thrombosis. J Am Med Assoc. 1954 Dec 4;156(14):1306–1309. doi: 10.1001/jama.1954.02950140006002. [DOI] [PubMed] [Google Scholar]
  12. Moseley R. V., Vernick J. J., Doty D. B. Response to blunt chest injury: a new experimental model. J Trauma. 1970 Aug;10(8):673–683. doi: 10.1097/00005373-197008000-00008. [DOI] [PubMed] [Google Scholar]
  13. PARMLEY L. F., MANION W. C., MATTINGLY T. W. Nonpenetrating traumatic injury of the heart. Circulation. 1958 Sep;18(3):371–396. doi: 10.1161/01.cir.18.3.371. [DOI] [PubMed] [Google Scholar]
  14. POTTER R. T., STEFKO P. L., BERTRAND C. A., MCNEILL T. M., O'BRIEN G. F., GARRET R., CHAMBERLAIN J. M. BLUNT CARDIAC TRAUMA: A PATHOPHYSIOLOGICAL STUDY. Ann Thorac Surg. 1965 Jul;1:432–443. doi: 10.1016/s0003-4975(10)66778-1. [DOI] [PubMed] [Google Scholar]
  15. Pomerantz M., Delgado F., Eiseman B. Unsuspected depressed cardiac output following blunt thoracic or abdominal trauma. Surgery. 1971 Dec;70(6):865–871. [PubMed] [Google Scholar]
  16. Pupello D. F., Daily P. O., Stinson E. B., Shumway N. E. Successful repair of left ventricular aneurysm due to trauma. JAMA. 1970 Feb 2;211(5):826–827. [PubMed] [Google Scholar]
  17. Rotman M., Peter R. H., Sealy W. C., Morris J. J., Jr Traumatic ventricular septal defect secondary to nonpenetrating chest trauma. Am J Med. 1970 Jan;48(1):127–131. doi: 10.1016/0002-9343(70)90107-5. [DOI] [PubMed] [Google Scholar]

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