Review article

Cardiac Trauma (cardiac-pericardium tamponade)

Greta Cindrić Bogdan ; Bogdan Cardiology Polyclinic, Zagreb, Croatia

Abstract

he most common causes of cardiac trauma, with special regard to nonpenetrating — blunt and penetrating — sharp injuries, frequent in the course of thoracal injury, and their definitions are presented. Symptoms, clinical course and patomorphologic-pathophysiological events in cardiac tamponade and myocardial contusion are described. The importance of rapid intervention at the spot, especially in penetrating cardiac trauma is stressed. Special significance is given to pre- hospital care and accordingly the need for highly educated teams of first aid with the application of transthoracic echocardiography on the spot of the incident as diagnostic method. Beside echocardiography, a need for careful application of therapeutic pericardiocentesis as urgent intervention as an important procedure at the place of accident with the aim of prevention of fatal outcome due to pericardial tamponade is strongly pointed. Diagnostic possibilities of instrumental heart and thorax check-ups during hospital stay, especially in evaluation of blunt — nonpenetrating cardiac trauma is described.

Keywords

cardiac trauma; pericardial tamponade; transthoracic echocardiogragraphy; therapeutic cardiocentesis

Hrčak ID:

112561

URI

https://hrcak.srce.hr/112561

Publication date:

2.10.2013.

Article data in other languages: croatian

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