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J Emerg Trauma Shock. 2010 Oct;3(4):398-400. doi: 10.4103/0974-2700.70772.

Cardiogenic shock following blunt chest trauma.

Journal of emergencies, trauma, and shock

Fayna Rodríguez-González, Efrén Martínez-Quintana

Affiliations

  1. Intensive Medicine Service, Cardiology Service, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain.

PMID: 21063565 PMCID: PMC2966575 DOI: 10.4103/0974-2700.70772

Abstract

Cardiac contusion, usually caused by blunt chest trauma, has been recognized with increased frequency over the past decades. Traffic accidents are the most frequent cause of cardiac contusions resulting from a direct blow to the chest. Other causes of blunt cardiac injury are numerous and include violent fall impacts, interpersonal aggression, explosions, and various types of high-risk sports. Myocardial contusion is difficult to diagnose; clinical presentation varies greatly, ranging from lack of symptoms to cardiogenic shock and arrhythmia. Although death is rare, cardiac contusion can be fatal. We present a case of cardiac contusion due to blunt chest trauma secondary to a fall impact, which manifested as cardiogenic shock.

Keywords: Aneurysm; blunt cardiac injury; cardiac complications; cardiac contusion; echocardiography

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