Highlights the clinical presentation and differential diagnosis of myocardial contusion versus myocardial infarction, noting a generally favorable prognosis.
Requires distinguishing contusion from infarction after blunt chest trauma; case reports leave open optimal diagnostic algorithms and management.
The pathology, symptomatology, physical signs and electrocardiographic changes in myocardial contusion are discussed, calling attention to the difficulties encountered in the differential diagnosis from myocardial infarction. Two cases are presented to illustrate not only this, but also the treatment and the usually favorable prognosis.
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R.W. Kissane (1954) studied this question.
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