Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury
Trauma patients with thoracic aortic injury (TAI) suffer blunt cardiac injury (BCI) at variable frequencies. This investigation aimed to determine the frequency of BCI in trauma patients with TAI and compare with those without TAI. All trauma patients with TAI who had admission electrocardiography (...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2011/848013 |
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| author | Rathachai Kaewlai Marc A. de Moya Antonio Santos Ashwin V. Asrani Laura L. Avery Robert A. Novelline |
| author_facet | Rathachai Kaewlai Marc A. de Moya Antonio Santos Ashwin V. Asrani Laura L. Avery Robert A. Novelline |
| author_sort | Rathachai Kaewlai |
| collection | DOAJ |
| description | Trauma patients with thoracic aortic injury (TAI) suffer blunt cardiac injury (BCI) at variable frequencies. This investigation aimed to determine the frequency of BCI in trauma patients with TAI and compare with those without TAI. All trauma patients with TAI who had admission electrocardiography (ECG) and serum creatine kinase-MB (CK-MB) from January 1999 to May 2009 were included as a study group at a level I trauma center. BCI was diagnosed if there was a positive ECG with either an elevated CK-MB or abnormal echocardiography. There were 26 patients (19 men, mean age 45.1 years, mean ISS 34.4) in the study group; 20 had evidence of BCI. Of 52 patients in the control group (38 men, mean age 46.9 years, mean ISS 38.7), eighteen had evidence of BCI. There was a significantly higher rate of BCI in trauma patients with TAI versus those without TAI (77% versus 35%, P<0.001). |
| format | Article |
| id | doaj-art-0651f15204b04c00a353042bf880579f |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-0651f15204b04c00a353042bf880579f2025-08-20T03:54:16ZengWileyEmergency Medicine International2090-28402090-28592011-01-01201110.1155/2011/848013848013Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic InjuryRathachai Kaewlai0Marc A. de Moya1Antonio Santos2Ashwin V. Asrani3Laura L. Avery4Robert A. Novelline5Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USADepartment of Surgery, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USADepartamento de Cirurgia Geral, Hospital Geral de Santo António, Largo do Prof. Abel Salazar, 4099-001 Porto, PortugalDepartment of Radiology, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USADepartment of Radiology, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USADepartment of Radiology, Massachusetts General Hospital, 55 Fruit Street, FND-210, Boston, MA 02114, USATrauma patients with thoracic aortic injury (TAI) suffer blunt cardiac injury (BCI) at variable frequencies. This investigation aimed to determine the frequency of BCI in trauma patients with TAI and compare with those without TAI. All trauma patients with TAI who had admission electrocardiography (ECG) and serum creatine kinase-MB (CK-MB) from January 1999 to May 2009 were included as a study group at a level I trauma center. BCI was diagnosed if there was a positive ECG with either an elevated CK-MB or abnormal echocardiography. There were 26 patients (19 men, mean age 45.1 years, mean ISS 34.4) in the study group; 20 had evidence of BCI. Of 52 patients in the control group (38 men, mean age 46.9 years, mean ISS 38.7), eighteen had evidence of BCI. There was a significantly higher rate of BCI in trauma patients with TAI versus those without TAI (77% versus 35%, P<0.001).http://dx.doi.org/10.1155/2011/848013 |
| spellingShingle | Rathachai Kaewlai Marc A. de Moya Antonio Santos Ashwin V. Asrani Laura L. Avery Robert A. Novelline Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury Emergency Medicine International |
| title | Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury |
| title_full | Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury |
| title_fullStr | Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury |
| title_full_unstemmed | Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury |
| title_short | Blunt Cardiac Injury in Trauma Patients with Thoracic Aortic Injury |
| title_sort | blunt cardiac injury in trauma patients with thoracic aortic injury |
| url | http://dx.doi.org/10.1155/2011/848013 |
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