Myocardial contusion following nonfatal blunt chest trauma.

Abstract

Currently available diagnostic techniques for myocardial contusion following blunt chest trauma were evaluated. We investigated 30 patients prospectively over a period of 1 year for the presence of myocardial contusion. Among the 30 patients, eight were found to have myocardial contusion on the basis of abnormal electrocardiograms, elevated creatine phosphokinase MB fraction (CPK-MB), and positive myocardial scan. Myocardial scan was positive in seven of eight patients (87.5%). CPK-MB fraction was elevated in four of eight patients (50%). Definitive electrocardiographic changes were seen in only two of eight patients (25%). It appears that myocardial scan using technetium pyrophosphate and CPK-MB fraction determinations are the most reliable aids in diagnosis of myocardial contusion following blunt chest trauma.

Cite this paper

@article{Kumar1983MyocardialCF, title={Myocardial contusion following nonfatal blunt chest trauma.}, author={Singh Ajit Kumar and V. K. Puri and Vijay Kumar Mittal and Jacqueline Andrea Cortez}, journal={The Journal of trauma}, year={1983}, volume={23 4}, pages={327-31} }