Cardiac Trauma

  • Silvia Pradella
  • Marta Brandani
  • Giulia Grazzini
  • Mario Moroni
  • Manlio Acquafresca
  • Vittorio Miele
Chapter

Abstract

Mild cardiac trauma currently remains unnoticed, while more severe cases can lead to death. Cardiac trauma should always be investigated and excluded. Hemopericardium or pericardial effusion can be suspected with an antero-posterior chest X-ray than confirmed with computed tomography (CT). Moreover, CT can show pneumo pericardium or vascular damage in patients with polytrauma. A cardiac CT with gating could be necessary in case of suspected aortic root or coronary injuries. Cardiac magnetic resonance imaging in stable patients can provide further additional information. ECG and cardiac biomarkers are noninvasive useful tools for screening. Patients with myocardial contusion causing conduction abnormalities require cardiac monitoring for 24 h due to the risk for sudden major arrhythmias.

Keywords

Trauma Trauma imaging Blunt trauma Cardiac injury Cardiac contusion Computed Tomography-CT Echocardiography Magnetic Resonance Imaging-MRI 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Silvia Pradella
    • 1
  • Marta Brandani
    • 1
  • Giulia Grazzini
    • 1
  • Mario Moroni
    • 1
  • Manlio Acquafresca
    • 1
  • Vittorio Miele
    • 1
  1. 1.Department of RadiologyCareggi University HospitalFlorenceItaly

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