Cardiac complications in blunt chest trauma Kunt gogus travmalarinda kardiak komplikasyonlar ve tani yontemleri
Istanbul Tip Fakultesi Mecmuasi, cilt.60, sa.1, ss.67-70, 1997 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 60 Sayı: 1
- Basım Tarihi: 1997
- Dergi Adı: Istanbul Tip Fakultesi Mecmuasi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.67-70
- Anahtar Kelimeler: Blunt cardiac trauma, Creatine kinase, Echocardiography, Electrocardiography
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Blunt chest trauma can results in cardiac dysrhytmias, valve and myocardial malfunction or rupture of myocardium. Patients with blunt chest trauma and suspected cardiac injury have required cardiac monitoring in intensive care unit for 48-72 hours. Predicting which patients with blunt chest trauma are not at the risk for cardiac complications would obviate patients-hours of monitoring in the intensive care unit. This study examines the sensitivity of 2-dimensional transthoracic echocardiography in predicting cardiac complications. Over a 24 month period 93 patients were admitted with blunt chest trauma and prospectively evaluated for cardiac injury with electrocardiography, creatine-kinase MB isoenzyme and transthorasic 2- dimensional echocardiography, 31 patients (% 33.3) had abnormal 2-dimensional echocardiograms. In 17 (% 54.8) of these patients, cardiac complications requiring treatment developed, 62 patients (% 66.6) had normal 2-dimensional echocardiograms, and a cardiac complications requiring treatment developed in only 1 (% 1.6) of them. Of the 18 patients who required treatment, 7 had normal electrocardiograms and only 1 had elevated MB isoenzymes of creatine kinase. According to our results; 2-dimensional echocardiography is a sensitive test for evaluated cardiac injury from blunt chest trauma and is helpful in selecting patients who require monitoring in the intensive care unit.