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  • Title: Myocardial contusion in blunt chest trauma: a ten-year review.
    Author: Macdonald RC, O'Neill D, Hanning CD, Ledingham IM.
    Journal: Intensive Care Med; 1981; 7(6):265-8. PubMed ID: 7328216.
    Abstract:
    A 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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