Cardiac Injury Due to Nonpenetrating Chest Trauma

Article1 April 1960CARDIAC INJURY DUE TO NONPENETRATING CHEST TRAUMAJAMES H. WATSON, M.D., WARREN M. BARTHOLOMAE, M.D.JAMES H. WATSON, M.D.Search for more papers by this author, WARREN M. BARTHOLOMAE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-52-4-871 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe concept of trauma as a cause of heart disease has been well established. Considerable attention has been directed toward the dramatic effects of penetrating chest wounds upon the heart. It should be emphasized that nonpenetrating chest injuries may also produce significant cardiac damage, and that minor amounts of damage occur with great frequency in cases of chest injury.Our interest in this subject was aroused by following a patient with a myocardial contusion. His electrocardiograms revealed serial changes, but after six months they had not returned to normal. No previous electrocardiogram was available as a base line observation. A...Bibliography1. KahnKahn MHS: Cardiovascular lesions following injury to the chest, Ann. Int. Med. 2: 1013, 1929. LinkGoogle Scholar2. BrightBeck EFCS: Nonpenetrating wounds of the heart, Am. Heart J. 10: 293, 1935. CrossrefGoogle Scholar3. Sigler LH: Trauma of the heart due to nonpenetrating chest injuries, J. A. M. A. 119: 855, 1942. CrossrefGoogle Scholar4. Leinoff HD: Acute coronary thrombosis in industry, Arch. Int. Med. 70: 33, 1942. CrossrefGoogle Scholar5. Sigler LH: Traumatic injury of the heart, Am. Heart J. 30: 459, 1945. CrossrefMedlineGoogle Scholar6. Gore I: The question of traumatic heart disease, Ann. Int. Med. 33: 865, 1950. LinkGoogle Scholar7. Kissane RW: Traumatic heart disease, Circulation 6: 421, 1952. CrossrefMedlineGoogle Scholar8. Moritz AR: Trauma, stress, and coronary thrombosis, J. A. M. A. 156: 1306, 1954. CrossrefMedlineGoogle Scholar9. Kissane RW: Traumatic heart disease, especially myocardial contusion, Postgrad. Med. 15: 114, 1954. CrossrefMedlineGoogle Scholar10. Halter BL: Non-penetrating trauma to the heart, Am. J. Surg. 90: 237, 1955. CrossrefMedlineGoogle Scholar11. HaleMartin HWJW: Myocardial contusion, Am. J. Surg. 93: 558, 1957. CrossrefMedlineGoogle Scholar12. KissaneFidlerKoons RWRSRA: Electrocardiographic changes following external chest injury to dogs, Ann. Int. Med. 11: 907, 1937. LinkGoogle Scholar13. SmithMcKeown LBHJ: Contusion of the heart, Am. Heart J. 17: 561, 1939. CrossrefGoogle Scholar14. Leinoff HD: Direct nonpenetrating injuries of the heart, Ann. Int. Med. 14: 653, 1940. LinkGoogle Scholar15. MoritzAtkins ARJP: Cardiac contusion, an experimental and physiologic study, Arch. Path. 25: 445, 1938. Google Scholar16. Levy H: Traumatic coronary thrombosis with myocardial infarction, Arch. Int. Med. 84: 261, 1949. CrossrefGoogle Scholar17. Beck CS: Contusions of the heart, J. A. M. A. 104: 109, 1935. CrossrefGoogle Scholar18. LiebermanLaskyDulkinLobstein JIISIOE: Serum glutamic-oxalacetic transaminase activity in conditions associated with myocardial infarction, Ann. Int. Med. 46: 485, 1957. LinkGoogle Scholar19. Levison LA: The relation of trauma to cardiac disease, Ann. Int. Med. 1: 227, 1927. LinkGoogle Scholar20. TuohyBoman ELPG: Trauma to viscera from non-penetrating external injuries, with special reference to the heart, Ann. Int. Med. 4: 1373, 1931. LinkGoogle Scholar21. PollockMarkelzShuey BERAHE: Isolated traumatic rupture of the interventricular septum due to blunt force, Am. Heart J. 43: 273, 1952. CrossrefMedlineGoogle Scholar22. DesforgesRidderLenoci GWPRJ: Successful suture of ruptured myocardium after nonpenetrating injury, New England J. Med. 252: 567, 1955. CrossrefMedlineGoogle Scholar23. ChapmanMcEachen MGJA: Cardiac contusion caused by use of a jackhammer, Am. Heart J. 54: 625, 1957. CrossrefMedlineGoogle Scholar24. BorodkinMassey HDFC: Myocardial trauma produced by nonpenetrating chest injury, Am. Heart J. 53: 795, 1957. CrossrefMedlineGoogle Scholar25. DeWittevan der HauwaertJoossens PELGJV: Traumatic rupture of the interventricular septum, Am. Heart J. 54: 628, 1957. CrossrefMedlineGoogle Scholar26. CaryHurstArentzen FHJWWR: Acquired interventricular septal defect secondary to trauma, New England J. Med. 258: 355, 1958. CrossrefMedlineGoogle Scholar27. GuilfoilDoyle PHJT: Traumatic cardiac septal defect, J. Thoracic Surg. 25: 510, 1953. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Akron, Ohio*Received for publication July 31, 1959.From the Akron General Hospital, Akron, Ohio.Requests for reprints should be addressed to Warren M. Bartholomae, M.D., Department of Internal Medicine, The Akron Clinic, 513 West Market Street, Akron 3, Ohio. 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WARREN HARTHORNE, M.D., F.A.C.P., PAUL A. KANTROWITZ, M.D., ROBERT E. DINSMORE, M.D., CHARLES A. SANDERS, M.D.Thoracic TraumaBlunt Cardiac Trauma: A Pathophysiological StudyConstrictive pericarditis after blunt chest traumaThe Heart and TraumaMITRAL VALVE DISEASE FROM BLUNT TRAUMATreatment of chest injuriesPosttraumatic hemorrhagic pericardial effusionCoronaries and Compensation 1 April 1960Volume 52, Issue 4Page: 871-880KeywordsAminotransferasesAnticoagulant therapyCardiovascular therapyElectrocardiographyHeartThorax ePublished: 1 December 2008 Issue Published: 1 April 1960 PDF downloadLoading ...