Early Detection of Myocardial Contusion and Its Outcomes in Patients with Blunt Chest Trauma

Document Type : Original Article

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Abstract

Background: Polytrauma has a significant impact on the wellbeing and provided healthcare for the populations. More than fifteen percent of emergency room admission worldwide are due  to blunt chest trauma (BCT), which comes in second most common cause of death in vehicle collisions after head injuries. Exposure of anterior chest wall to an abrupt high-speed deceleration injury results in thorax compression, which is a common cause of BCT. The trauma may cause damage to all thoracic structures.
Objective: In patients with acute chest injuries, the goal of this study was to identify the early onset of myocardial contusion and its consequences.
Patients and methods: This study was carried out over the course of a year in the Emergency Department of the Mansoura University Hospital. The research comprised 153 individuals who presented with solitary BCT.
Results: When compared to patients without myocardial contusions, the mean heart rate was statistically significantly greater in the cases with myocardial contusions. The global circumferential strains (GCS) and the mean arterial pressure (MAP) were statistically significantly lower in the cases with myocardial contusions as compared with the cases with no myocardial contusions. In patients with myocardial contusions, the length of hospital as well as the length of intensive care unit (ICU) stays were statistically significantly longer.
Conclusion: The diagnosis of blunt chest trauma is exceedingly difficult since it can result in a broad variety of clinical manifestations and damage. Patients may arrive at the hospital with stable hemodynamics and no symptoms.
 

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The Egyptian Journal of Hospital Medicine
Volume 89, Issue 2
October 2022
Pages 6678-6685

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