Nonpenetrating trauma to the heart
This study presents a spectrum of injuries to the heart in 61 individuals from 2 months to 30 years of age who were in automobile accidents. Three patients are presented in detail. One patient died and had severe damage to the left ventricular myocardium. Another patient had severe damage to the tri...
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| Published in | The Journal of pediatrics Vol. 68; no. 5; pp. 677 - 692 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Mosby, Inc
01.05.1966
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| Subjects | |
| Online Access | Get full text |
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| Abstract | This study presents a spectrum of injuries to the heart in 61 individuals from 2 months to 30 years of age who were in automobile accidents. Three patients are presented in detail. One patient died and had severe damage to the left ventricular myocardium. Another patient had severe damage to the tricuspid valve and survived after successful implantation of a Starr-Edwards valve. The third patient had a residual calcified plaque at the base of the left ventricle which was detected 30 years after a childhood automobile accident. Electrocardiographic changes compatible with myocardial injury were found in 29.5 per cent, and 19.6 per cent were found to have suspicious changes. Since the advent of open heart surgery, patients who sustain myocardial tears or rupture of cardiac septa are now potentially curable. |
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| AbstractList | This study presents a spectrum of injuries to the heart in 61 individuals from 2 months to 30 years of age who were in automobile accidents. Three patients are presented in detail. One patient died and had severe damage to the left ventricular myocardium. Another patient had severe damage to the tricuspid valve and survived after successful implantation of a Starr-Edwards valve. The third patient had a residual calcified plaque at the base of the left ventricle which was detected 30 years after a childhood automobile accident. Electrocardiographic changes compatible with myocardial injury were found in 29.5 per cent, and 19.6 per cent were found to have suspicious changes. Since the advent of open heart surgery, patients who sustain myocardial tears or rupture of cardiac septa are now potentially curable. |
| Author | Behrer, M. Remsen Goldring, David Antoniou, Christos A. Hartmann, Alexis F. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/5910759$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.7326/0003-4819-46-3-485 10.1161/01.CIR.30.2.217 10.1161/01.CIR.18.3.371 10.1093/ajcp/28.1.56 10.1016/S0002-8703(35)90312-X 10.1136/hrt.4.3.83 10.1161/01.CIR.6.3.421 10.1136/hrt.2.4.271 10.7326/0003-4819-14-4-653 10.1016/0002-8703(45)90042-1 |
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| Copyright | 1966 The C. V. Mosby Company |
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| PublicationYear | 1966 |
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| References | Moritz, Atkins (bib13) 1938; 25 Kissane (bib3) 1952; 6 Osborn, Jones, Jahnke (bib12) 1964; 30 Sigler (bib6) 1945; 30 Wrablewski (bib9) 1957; 234 Lieberman, Lasky, Dulkin, Lobstein (bib2) 1957; 46 Lasky (bib1) October, 1963 Leinoff (bib4) 1940; 14 Barber (bib10) 1942; 4 Warburg (bib7) 1940; 2 Bright, Beck (bib11) 1955; 10 Parmley, Manion, Mattingly (bib5) 1958; 18 Reitman, Frankel (bib8) 1957; 28 Parmley (10.1016/S0022-3476(66)80439-0_bib5) 1958; 18 Moritz (10.1016/S0022-3476(66)80439-0_bib13) 1938; 25 Barber (10.1016/S0022-3476(66)80439-0_bib10) 1942; 4 Sigler (10.1016/S0022-3476(66)80439-0_bib6) 1945; 30 Warburg (10.1016/S0022-3476(66)80439-0_bib7) 1940; 2 Bright (10.1016/S0022-3476(66)80439-0_bib11) 1955; 10 Osborn (10.1016/S0022-3476(66)80439-0_bib12) 1964; 30 Reitman (10.1016/S0022-3476(66)80439-0_bib8) 1957; 28 Lasky (10.1016/S0022-3476(66)80439-0_bib1) 1963 Kissane (10.1016/S0022-3476(66)80439-0_bib3) 1952; 6 Leinoff (10.1016/S0022-3476(66)80439-0_bib4) 1940; 14 Lieberman (10.1016/S0022-3476(66)80439-0_bib2) 1957; 46 Wrablewski (10.1016/S0022-3476(66)80439-0_bib9) 1957; 234 |
| References_xml | – volume: 30 start-page: 217 year: 1964 ident: bib12 article-title: Traumatic tricuspid insufficiency. Hemodynamic data and surgical treatment publication-title: Circulation contributor: fullname: Jahnke – volume: 46 start-page: 485 year: 1957 ident: bib2 article-title: Serum glutamic oxalacetic transaminase activity in conditions associated with myocardial infarction. I. Bodily trauma publication-title: Ann. Int. Med. contributor: fullname: Lobstein – year: October, 1963 ident: bib1 article-title: Traumatic nonpenetrating heart disease publication-title: Medical Times contributor: fullname: Lasky – volume: 28 start-page: 56 year: 1957 ident: bib8 article-title: Colorimetric method for the determination of serum transaminase activity publication-title: Am. J. Clin. Path. contributor: fullname: Frankel – volume: 18 start-page: 371 year: 1958 ident: bib5 article-title: Nonpenetrating traumatic injury of the heart publication-title: Circulation contributor: fullname: Mattingly – volume: 2 start-page: 271 year: 1940 ident: bib7 article-title: Myocardial and pericardial lesions due to nonpenetrating injury publication-title: Brit. Heart J. contributor: fullname: Warburg – volume: 14 start-page: 653 year: 1940 ident: bib4 article-title: Direct nonpenetrating injuries of the heart publication-title: Ann. Int. Med. contributor: fullname: Leinoff – volume: 4 start-page: 83 year: 1942 ident: bib10 article-title: Electrocardiographic changes due to trauma publication-title: Brit. Heart J. contributor: fullname: Barber – volume: 10 start-page: 293 year: 1955 ident: bib11 article-title: Nonpenetrating wounds of the heart; a clinical and experimental study publication-title: Am. Heart J. contributor: fullname: Beck – volume: 25 start-page: 445 year: 1938 ident: bib13 article-title: Cardiac contusion—an experimental and pathologic study publication-title: Arch. Path. contributor: fullname: Atkins – volume: 6 start-page: 421 year: 1952 ident: bib3 article-title: Traumatic heart disease; nonpenetrating injuries publication-title: Circulation contributor: fullname: Kissane – volume: 30 start-page: 459 year: 1945 ident: bib6 article-title: Traumatic injury of the heart publication-title: Am. Heart J. contributor: fullname: Sigler – volume: 234 start-page: 301 year: 1957 ident: bib9 article-title: The clinical significance of alteration in lactic dehydrogenase activity of body fluids publication-title: Am. J. Med. Sc. contributor: fullname: Wrablewski – volume: 46 start-page: 485 year: 1957 ident: 10.1016/S0022-3476(66)80439-0_bib2 article-title: Serum glutamic oxalacetic transaminase activity in conditions associated with myocardial infarction. I. Bodily trauma publication-title: Ann. Int. Med. doi: 10.7326/0003-4819-46-3-485 contributor: fullname: Lieberman – volume: 30 start-page: 217 year: 1964 ident: 10.1016/S0022-3476(66)80439-0_bib12 article-title: Traumatic tricuspid insufficiency. Hemodynamic data and surgical treatment publication-title: Circulation doi: 10.1161/01.CIR.30.2.217 contributor: fullname: Osborn – volume: 18 start-page: 371 year: 1958 ident: 10.1016/S0022-3476(66)80439-0_bib5 article-title: Nonpenetrating traumatic injury of the heart publication-title: Circulation doi: 10.1161/01.CIR.18.3.371 contributor: fullname: Parmley – volume: 25 start-page: 445 year: 1938 ident: 10.1016/S0022-3476(66)80439-0_bib13 article-title: Cardiac contusion—an experimental and pathologic study publication-title: Arch. Path. contributor: fullname: Moritz – volume: 28 start-page: 56 year: 1957 ident: 10.1016/S0022-3476(66)80439-0_bib8 article-title: Colorimetric method for the determination of serum transaminase activity publication-title: Am. J. Clin. Path. doi: 10.1093/ajcp/28.1.56 contributor: fullname: Reitman – volume: 10 start-page: 293 year: 1955 ident: 10.1016/S0022-3476(66)80439-0_bib11 article-title: Nonpenetrating wounds of the heart; a clinical and experimental study publication-title: Am. Heart J. doi: 10.1016/S0002-8703(35)90312-X contributor: fullname: Bright – year: 1963 ident: 10.1016/S0022-3476(66)80439-0_bib1 article-title: Traumatic nonpenetrating heart disease publication-title: Medical Times contributor: fullname: Lasky – volume: 4 start-page: 83 year: 1942 ident: 10.1016/S0022-3476(66)80439-0_bib10 article-title: Electrocardiographic changes due to trauma publication-title: Brit. Heart J. doi: 10.1136/hrt.4.3.83 contributor: fullname: Barber – volume: 6 start-page: 421 year: 1952 ident: 10.1016/S0022-3476(66)80439-0_bib3 article-title: Traumatic heart disease; nonpenetrating injuries publication-title: Circulation doi: 10.1161/01.CIR.6.3.421 contributor: fullname: Kissane – volume: 234 start-page: 301 year: 1957 ident: 10.1016/S0022-3476(66)80439-0_bib9 article-title: The clinical significance of alteration in lactic dehydrogenase activity of body fluids publication-title: Am. J. Med. Sc. contributor: fullname: Wrablewski – volume: 2 start-page: 271 year: 1940 ident: 10.1016/S0022-3476(66)80439-0_bib7 article-title: Myocardial and pericardial lesions due to nonpenetrating injury publication-title: Brit. Heart J. doi: 10.1136/hrt.2.4.271 contributor: fullname: Warburg – volume: 14 start-page: 653 year: 1940 ident: 10.1016/S0022-3476(66)80439-0_bib4 article-title: Direct nonpenetrating injuries of the heart publication-title: Ann. Int. Med. doi: 10.7326/0003-4819-14-4-653 contributor: fullname: Leinoff – volume: 30 start-page: 459 year: 1945 ident: 10.1016/S0022-3476(66)80439-0_bib6 article-title: Traumatic injury of the heart publication-title: Am. Heart J. doi: 10.1016/0002-8703(45)90042-1 contributor: fullname: Sigler |
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| Snippet | This study presents a spectrum of injuries to the heart in 61 individuals from 2 months to 30 years of age who were in automobile accidents. Three patients are... |
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| SubjectTerms | Accidents, Traffic Adolescent Adult Angiocardiography Cardiac Catheterization Child Child, Preschool Electrocardiography Female Heart Injuries - diagnosis Humans Infant Male Photomicrography Radiography, Thoracic |
| Title | Nonpenetrating trauma to the heart |
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