Heart injury: classification, mechanisms and diagnostic problems in chest trauma patients (literature review with the results of own observations)

Authors

  • S.V. Kursov Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • A.V. Beletskyi Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • V.V. Nikonov Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine
  • Ye.I. Kinoshenko Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.8.95.2018.155150

Keywords:

chest trauma, heart trauma, myocardial contusion, electrocardiographic monitoring, echocardiography, cardiac troponins, review

Abstract

The literature review presents current ideas about the basic causes and mechanisms of myocardial contusion formation in the patients with trauma, the classification of the severity of traumatic myocardial damage and the basic methods of diagnosis, the results of comparison with the guidelines of the Eastern Association for the surgery of trauma. At the present day, the most acceptable and informative tests for the diagnosis of myocardial contusion in patients with trauma is electrocardiographic monitoring, in combination with the determination of cardiac troponins concentration in the blood. Based on the analysis of the results of the most highly-regarded modern research and our own clinical experience, it has been shown that in any suspicion of myocardial contusion in domestic medical institutions all available diagnostic measures should be used. In all doubtful situations, further diagnostic and therapeutic tactics should be performed only for the be­nefit of a patient.

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Published

2018-12-27

How to Cite

Kursov, S., Beletskyi, A., Nikonov, V., & Kinoshenko, Y. (2018). Heart injury: classification, mechanisms and diagnostic problems in chest trauma patients (literature review with the results of own observations). EMERGENCY MEDICINE, (8.95), 7–18. https://doi.org/10.22141/2224-0586.8.95.2018.155150

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Section

Scientific Review

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