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Glinz W, Turina M. Stumpfe Herzverletzungen. [Blunt heart injuries]. Langenbecks Arch Chir. 1986;369:129-38doi: 10.1007/BF01274337.
Glinz, W., & Turina, M. (1986). Stumpfe Herzverletzungen. [Blunt heart injuries]. Langenbecks Archiv fur Chirurgie, 369129-38. https://doi.org/10.1007/BF01274337
Glinz, W, and Turina, M. "Stumpfe Herzverletzungen." [Blunt heart injuries]. Langenbecks Archiv fur Chirurgie vol. 369 (1986): 129-38. doi: https://doi.org/10.1007/BF01274337
Glinz W, Turina M. Stumpfe Herzverletzungen. [Blunt heart injuries]. Langenbecks Arch Chir. 1986;369:129-38. doi: 10.1007/BF01274337. German. PMID: 3807506.
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Langenbecks Arch Chir. 1986;369:129-38. doi: 10.1007/BF01274337.

[Blunt heart injuries].

Langenbecks Archiv fur Chirurgie

[Article in German]
W Glinz, M Turina

PMID: 3807506 DOI: 10.1007/BF01274337

Abstract

Cardiac injuries were present in 16% of our patients suffering from blunt chest trauma. 25% of these cases had no concomitant rib fractures. Sonography is extremely important for evaluation. In myocardial contusion the electrocardiogram reveals mainly disturbances in repolarisation (66 out of 108 patients) and rhythm disturbances (59 patients). A ratio of CK-MB isoenzyme/total CK of over 8% is highly suggestive of myocardial injury. Continuous monitoring in ICU is mandatory. Prognosis is mainly based on additional injuries. Heart wall rupture and luxation of the heart require operative treatment. Lesions of the aortic valves are the most frequent valve injuries.

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