The Importance of Electrocardiographic Screening in Cardiac Contusion after Blunt Chest Trauma: Case Reports

Year 2013, Volume: 38 Issue: 4, 754 - 758, 01.12.2013

Keziban Uçar Karabulut Hüseyin Narcı Başar Cander Mehmet Gül Çetin Duman

Abstract

Tracking and monitoring of patients with blunt chest trauma, especially blunt trauma is very important. As in all kinds of trauma, cardiac contusion in isolated chest trauma may result in acute coronary syndromes. We describe two patients who present with acute coronary syndrome after blunt chest trauma. Their ECG confirmed ST elevations in the inferior derivations, medical therapies and coronary angiography were carried out. Coronary angiographies have revealed no pathology in the coronary arteries. Their conditions were considered to be related to cardiac contusion due to trauma and stress. Cardiac contusion may occur in isolated chest traumas; however, it should be remembered that acute coronary syndrome may develop along with stress after any kind of trauma.

Keywords

Blunt chest trauma, cardiac contusion, ECG screening

Künt gögüs travmasından sonra kardiyak kontüzyon elektrokardiyografik görüntülemenin önemi: Olgu sunumları

Abstract

Künt göğüs travması geçiren hastaların takip ve monitorizasyonu önemlidir.İzole künt göğüs travmasına bağlı kardiyak kontüzyon takiben akut koroner sendrom gelişebileceği unutulmamalıdır. Künt göğüs travması sonucu akut koroner sndrom gelişen iki hasta tanımlamaya çalıştık.Hastarın EKG lerinde inferior derivasyonlarda ST elevasyonu tespit ettik,hastalar medikal tedavi ve koroner anjiografi yapıldı. koroner anjiografi sonucu koroner arterlerde herhangi bir patoloji saptanmadı.Onların durumu, travma ve stres nedeniyle kardiyak kontüzyona bağlandı.Kardiyak kontüzyon izole künt göğüs travmalarında oluşabilir, bununla birlikte hertürlü travma ve stres sonucu akut koroner sendromu gelişebileceği unutulmamalıdır.

Keywords

Künt göğüs travması, kardiyak kontüzyon, EKG görüntüleme

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• Yazışma Adresi / Address for Correspondence: Dr. Keziban Uçar Karabulut Baskent University Medical Faculty, Emergency Department Hocacihan Mah. Saray Cad. No 1 Selçuklu/ KONYA e-mail: [e-mail] geliş tarihi/received :25.12.2012 kabul tarihi/accepted:21.01.2013