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. 2002 Jan;19(1):8–10. doi: 10.1136/emj.19.1.8

Myocardial contusion: emergency investigation and diagnosis

P Kaye 1, l O'Sullivan 1
PMCID: PMC1725746  PMID: 11777862

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Selected References

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

  1. Adams J. E., 3rd, Dávila-Román V. G., Bessey P. Q., Blake D. P., Ladenson J. H., Jaffe A. S. Improved detection of cardiac contusion with cardiac troponin I. Am Heart J. 1996 Feb;131(2):308–312. doi: 10.1016/s0002-8703(96)90359-2. [DOI] [PubMed] [Google Scholar]
  2. Bertinchant J. P., Polge A., Mohty D., Nguyen-Ngoc-Lam R., Estorc J., Cohendy R., Joubert P., Poupard P., Fabbro-Peray P., Monpeyroux F. Evaluation of incidence, clinical significance, and prognostic value of circulating cardiac troponin I and T elevation in hemodynamically stable patients with suspected myocardial contusion after blunt chest trauma. J Trauma. 2000 May;48(5):924–931. doi: 10.1097/00005373-200005000-00018. [DOI] [PubMed] [Google Scholar]
  3. Bertinchant J. P., Robert E., Polge A., de la Coussaye J. E., Pignodel C., Aya G., Fabbro-Peray P., Poirey S., Ledermann B., Eledjam J. J. Release kinetics of cardiac troponin I and cardiac troponin T in effluents from isolated perfused rabbit hearts after graded experimental myocardial contusion. J Trauma. 1999 Sep;47(3):474–480. doi: 10.1097/00005373-199909000-00007. [DOI] [PubMed] [Google Scholar]
  4. Biffl W. L., Moore F. A., Moore E. E., Sauaia A., Read R. A., Burch J. M. Cardiac enzymes are irrelevant in the patient with suspected myocardial contusion. Am J Surg. 1994 Dec;168(6):523–528. doi: 10.1016/s0002-9610(05)80115-1. [DOI] [PubMed] [Google Scholar]
  5. Christensen M. A., Sutton K. R. Myocardial contusion: new concepts in diagnosis and management. Am J Crit Care. 1993 Jan;2(1):28–34. [PubMed] [Google Scholar]
  6. Edouard A. R., Benoist J. F., Cosson C., Mimoz O., Legrand A., Samii K. Circulating cardiac troponin I in trauma patients without cardiac contusion. Intensive Care Med. 1998 Jun;24(6):569–573. doi: 10.1007/s001340050617. [DOI] [PubMed] [Google Scholar]
  7. Fildes J. J., Betlej T. M., Manglano R., Martin M., Rogers F., Barrett J. A. Limiting cardiac evaluation in patients with suspected myocardial contusion. Am Surg. 1995 Sep;61(9):832–835. [PubMed] [Google Scholar]
  8. García-Fernández M. A., López-Pérez J. M., Pérez-Castellano N., Quero L. F., Virgós-Lamela A., Otero-Ferreiro A., Lasara A. M., Vega M., Moreno M., Pastor-Benavent J. A. Role of transesophageal 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 Mar;135(3):476–481. doi: 10.1016/s0002-8703(98)70324-2. [DOI] [PubMed] [Google Scholar]
  9. Gonzalez A. C., Waldo W., Harlaftis N., Gravanis M., Symbas P. N. Imaging of experimental myocardial contusion: observations and pathologic correlations. AJR Am J Roentgenol. 1977 Jun;128(6):1039–1040. doi: 10.2214/ajr.128.6.1039. [DOI] [PubMed] [Google Scholar]
  10. Maenza R. L., Seaberg D., D'Amico F. A meta-analysis of blunt cardiac trauma: ending myocardial confusion. Am J Emerg Med. 1996 May;14(3):237–241. doi: 10.1016/S0735-6757(96)90165-5. [DOI] [PubMed] [Google Scholar]
  11. Miller F. A., Jr, Seward J. B., Gersh B. J., Tajik A. J., Mucha P., Jr Two-dimensional echocardiographic findings in cardiac trauma. Am J Cardiol. 1982 Nov;50(5):1022–1027. doi: 10.1016/0002-9149(82)90412-x. [DOI] [PubMed] [Google Scholar]
  12. Moomey C. B., Jr, Fabian T. C., Croce M. A., Melton S. M., Proctor K. G. Determinants of myocardial performance after blunt chest trauma. J Trauma. 1998 Dec;45(6):988–996. doi: 10.1097/00005373-199812000-00003. [DOI] [PubMed] [Google Scholar]
  13. Potkin R. T., Werner J. A., Trobaugh G. B., Chestnut C. H., 3rd, Carrico C. J., Hallstrom A., Cobb L. A. Evaluation of noninvasive tests of cardiac damage in suspected cardiac contusion. Circulation. 1982 Sep;66(3):627–631. doi: 10.1161/01.cir.66.3.627. [DOI] [PubMed] [Google Scholar]
  14. Roxburgh J. C. Myocardial contusion. Injury. 1996 Nov;27(9):603–605. doi: 10.1016/s0020-1383(96)00120-9. [DOI] [PubMed] [Google Scholar]
  15. Schick T. D., van der Zee H., Powers S. R., Jr Detection of cardiac disturbances following thoracic trauma with high-frequency analysis of the electrocardiogram. J Trauma. 1977 Jun;17(6):419–424. doi: 10.1097/00005373-197706000-00002. [DOI] [PubMed] [Google Scholar]
  16. Swaanenburg J. C., Klaase J. M., DeJongste M. J., Zimmerman K. W., ten Duis H. J. Troponin I, troponin T, CKMB-activity and CKMB-mass as markers for the detection of myocardial contusion in patients who experienced blunt trauma. Clin Chim Acta. 1998 Apr 27;272(2):171–181. doi: 10.1016/s0009-8981(98)00014-x. [DOI] [PubMed] [Google Scholar]
  17. Tenzer M. L. The spectrum of myocardial contusion: a review. J Trauma. 1985 Jul;25(7):620–627. doi: 10.1097/00005373-198507000-00008. [DOI] [PubMed] [Google Scholar]
  18. Viano D. C., Artinian C. G. Myocardial conducting system dysfunctions from thoracic impact. J Trauma. 1978 Jun;18(6):452–459. doi: 10.1097/00005373-197806000-00010. [DOI] [PubMed] [Google Scholar]
  19. Weiss R. L., Brier J. A., O'Connor W., Ross S., Brathwaite C. M. The usefulness of transesophageal echocardiography in diagnosing cardiac contusions. Chest. 1996 Jan;109(1):73–77. doi: 10.1378/chest.109.1.73. [DOI] [PubMed] [Google Scholar]
  20. Wisner D. H., Reed W. H., Riddick R. S. Suspected myocardial contusion. Triage and indications for monitoring. Ann Surg. 1990 Jul;212(1):82–86. doi: 10.1097/00000658-199007000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]

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