• Intensive care medicine · Jan 1981

    Myocardial contusion in blunt chest trauma: a ten-year review.

    • R C Macdonald, D O'Neill, C D Hanning, and I M Ledingham.
    • Intensive Care Med. 1981 Jan 1;7(6):265-8.

    AbstractA retrospective review was undertaken of 169 patients admitted to an Intensive Therapy Unit with a major chest injury to determine the incidence, clinical features and outcome of patients with myocardial contusion. This injury occurred in 29 (17%) patients, of whom 24 (83%) had significant cardiovascular complications and five died as a direct result of the injury. The interval between injury and diagnosis was 3.2 +/- 2.3 days (mean +/- SD) from injury and in six patients the diagnosis was made only at necropsy. Increased awareness of myocardial contusion is required for earlier diagnosis and prevention of complications.

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