Managing blunt cardiac injury
Abstract Blunt cardiac injury (BCI) encompasses a spectrum of pathologies ranging from clinically silent, transient arrhythmias to deadly cardiac wall rupture. Of diagnosed BCIs, cardiac contusion is most common. Suggestive symptoms may be unrelated to BCI, while some injuries may be clinically asym...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02146-z |
| _version_ | 1811165740542197760 |
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| author | Lawrence Nair Brendan Winkle Eshan Senanayake |
| author_facet | Lawrence Nair Brendan Winkle Eshan Senanayake |
| author_sort | Lawrence Nair |
| collection | DOAJ |
| description | Abstract Blunt cardiac injury (BCI) encompasses a spectrum of pathologies ranging from clinically silent, transient arrhythmias to deadly cardiac wall rupture. Of diagnosed BCIs, cardiac contusion is most common. Suggestive symptoms may be unrelated to BCI, while some injuries may be clinically asymptomatic. Cardiac rupture is the most devastating complication of BCI. Most patients who sustain rupture of a heart chamber do not reach the emergency department alive. The incidence of BCI following blunt thoracic trauma remains variable and no gold standard exists to either diagnose cardiac injury or provide management. Diagnostic tests should be limited to identifying those patients who are at risk of developing cardiac complications as a result of cardiac in jury. Therapeutic interventions should be directed to treat the complications of cardiac injury. Prompt, appropriate and well-orchestrated surgical treatment is invaluable in the management of the unstable patients. |
| first_indexed | 2024-04-10T15:41:31Z |
| format | Article |
| id | doaj.art-ed307929959c43c49db2f734bf796617 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-10T15:41:31Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-ed307929959c43c49db2f734bf7966172023-02-12T12:22:28ZengBMCJournal of Cardiothoracic Surgery1749-80902023-02-011811410.1186/s13019-023-02146-zManaging blunt cardiac injuryLawrence Nair0Brendan Winkle1Eshan Senanayake2Department of Cardiothoracic Surgery, The Prince Charles HospitalDepartment of Surgery, Royal Darwin HospitalDepartment of Cardiothoracic Surgery, Queen Elizabeth HospitalAbstract Blunt cardiac injury (BCI) encompasses a spectrum of pathologies ranging from clinically silent, transient arrhythmias to deadly cardiac wall rupture. Of diagnosed BCIs, cardiac contusion is most common. Suggestive symptoms may be unrelated to BCI, while some injuries may be clinically asymptomatic. Cardiac rupture is the most devastating complication of BCI. Most patients who sustain rupture of a heart chamber do not reach the emergency department alive. The incidence of BCI following blunt thoracic trauma remains variable and no gold standard exists to either diagnose cardiac injury or provide management. Diagnostic tests should be limited to identifying those patients who are at risk of developing cardiac complications as a result of cardiac in jury. Therapeutic interventions should be directed to treat the complications of cardiac injury. Prompt, appropriate and well-orchestrated surgical treatment is invaluable in the management of the unstable patients.https://doi.org/10.1186/s13019-023-02146-zBlunt cardiac injuryContusionRuptureCardiorrhaphy |
| spellingShingle | Lawrence Nair Brendan Winkle Eshan Senanayake Managing blunt cardiac injury Journal of Cardiothoracic Surgery Blunt cardiac injury Contusion Rupture Cardiorrhaphy |
| title | Managing blunt cardiac injury |
| title_full | Managing blunt cardiac injury |
| title_fullStr | Managing blunt cardiac injury |
| title_full_unstemmed | Managing blunt cardiac injury |
| title_short | Managing blunt cardiac injury |
| title_sort | managing blunt cardiac injury |
| topic | Blunt cardiac injury Contusion Rupture Cardiorrhaphy |
| url | https://doi.org/10.1186/s13019-023-02146-z |
| work_keys_str_mv | AT lawrencenair managingbluntcardiacinjury AT brendanwinkle managingbluntcardiacinjury AT eshansenanayake managingbluntcardiacinjury |