[Persistent ST-elevation with elevated myocardial necrosis markers: a case of myocardial contusion].

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Miriam Stucchi, Michele Galasso, Lorenzo De Censi, Antonio Cirò, Patrizia Pedrotti, Cristina Giannattasio
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引用次数: 0

Abstract

Myocardial contusion is a rare and potentially fatal complication of chest trauma. There is no unique definition for this entity: some authors define myocardial contusion as a mild increase in cardiac biomarkers in the context of chest trauma, while for others the diagnosis requires evidence of pathologic findings at cardiac imaging. Consequently, the real incidence of myocardial contusion remains unknown, varying in reports between 8% and 71%. We describe a case of cardiac contusion secondary to a low-energy blunt chest trauma, manifesting as persistent ST-elevation associated with elevation of myocardial necrosis markers, with consequent myocardial stunning of the right ventricular free wall. As there is no consensus regarding the diagnostic pathway, it is essential to integrate first-level exams (ECG and laboratory findings) with cardiac magnetic resonance imaging, to define the presence of cardiac contusion and its extent, particularly if the echocardiographic data are unconclusive.

[持续性ST段抬高伴心肌坏死标志物升高:一例心肌挫伤]。
心肌挫伤是胸部创伤的一种罕见且可能致命的并发症。对于这种实体没有唯一的定义:一些作者将心肌挫伤定义为胸部创伤背景下心脏生物标志物的轻度增加,而另一些作者则需要心脏成像的病理结果证据进行诊断。因此,心肌挫伤的真实发生率仍然未知,报告中的发生率在8%到71%之间。我们描述了一例低能量钝性胸部创伤继发的心脏挫伤,表现为持续性ST段抬高伴心肌坏死标志物升高,随后右心室自由壁心肌梗死。由于对诊断途径没有达成共识,因此必须将一级检查(心电图和实验室检查结果)与心脏磁共振成像相结合,以确定心脏挫伤的存在及其程度,特别是在超声心动图数据不明确的情况下。
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
Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.10
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