Hypertrophic cardiomyopathy in the trauma patient: A case report and review of the literature

Q4 Medicine

Trauma Case Reports Pub Date : 2025-05-26 DOI:10.1016/j.tcr.2025.101204

Andrew Hendrix , Thomas Crafton , Logan Carlyle , Jacob Hessey

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引用次数: 0

Abstract

Introduction

Hypertrophic cardiomyopathy (HCM), a prevalent genetic cardiac condition characterized by myocardial thickening, poses unique challenges in trauma care. Sparse evidence seems to agree that HCM patients have worse outcomes following non-cardiac surgeries, particularly emergent procedures. However, despite a prevalence of 1 in 500 in the US population, the intersection of HCM and Advanced Trauma Life Support (ATLS) remains undiscussed in current literature.

Case presentation

A 54-year-old female with unknown past medical history presented as a level 2 trauma alert following a motor vehicle collision. Due to persistent hypotension and transient bradycardia in the trauma bay a further cardiologic evaluation was performed and found severe hypertrophic obstructive cardiomyopathy (HOCM).

Clinical discussion

We report a case of a polytrauma patient found to have severe HOCM as well as provide a review of the literature including pathophysiological considerations in the management of the trauma patient with HCM.

Conclusions

Caring for the trauma patient with HCM requires a multidisciplinary strategy that integrates advanced cardiac imaging and cautious hemodynamic management, underlining the necessity for heightened awareness.

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创伤患者的肥厚性心肌病：1例报告及文献复习

肥厚性心肌病（HCM）是一种常见的以心肌增厚为特征的遗传性心脏病，在创伤护理中提出了独特的挑战。很少有证据表明HCM患者在非心脏手术，特别是急诊手术后预后更差。然而，尽管HCM在美国人口中的患病率为1 / 500，但HCM和晚期创伤生命支持（ATLS）的交叉在当前文献中仍未得到讨论。病例表现：一名54岁女性，既往病史不详，在一次机动车碰撞后出现2级外伤警报。由于创伤区持续低血压和短暂性心动过缓，进行了进一步的心脏学评估，发现严重肥厚性阻塞性心肌病（HOCM）。临床讨论我们报告了一例多发性创伤患者发现有严重的HOCM，并提供了文献综述，包括病理生理方面的考虑在创伤患者的HCM的管理。结论创伤性HCM患者的护理需要多学科的策略，将先进的心脏影像学和谨慎的血流动力学管理相结合，强调了提高意识的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.