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Trauma
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Myocardial contusion

AM Ranasinghe

Department of Cardiothoracic Surgery, University Hospital Birmingham NHS Trust, Birmingham, UK

ME Lewis

Department of Cardiothoracic Surgery, University Hospital Birmingham NHS Trust, Birmingham, UK

TR Graham

Department of Cardiothoracic Surgery, University Hospital Birmingham NHS Trust, Birmingham, UK, Tim.graham{at}uhb.nhs.uk

Myocardial contusion can be a difficult diagnosis to make. There is currently no gold standard of investigation that allows its accurate diagnosis in the clinical setting. Trauma surgeons need to have a high degree of clinical suspicion when dealing with patients who have received blunt thoracic injuries in order that the diagnosis of myocardial contusion may be made. In this article we discuss the diagnosis, potential complications and investigation of patients with suspected myocardial contusion and also present a fl ow diagram for the possible management of patients with trauma who may have suspected myocardial contusion.

Key Words: management of thoracic trauma • myocardial contusion

Trauma, Vol. 6, No. 2, 169-175 (2004)
DOI: 10.1191/1460408604ta310oa


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