Abstract

CAZAU CUERVO, Andrés; SANCHEZ ROBLEDO, Dolores; MILTON ECHEVARRIA, Santiago  and  RODRIGUEZ-LOECHES FERNANDEZ, Juan. Contusión cardíaca: Informe de 4 casos. Rev Cubana Cir [online]. 1997, vol.36, n.1, pp. 17-21. ISSN 1561-2945.

Four male patients (medical records 767 451, 898 039, 606 959, and 780 349) presenting with clinical histories, physical findings, and positive diagnostic methods evidencing a cardiac contusion were attended at the Emergency Department of "Luis Díaz Soto" Higher Institute of Military Medicine between October 25, 1989 and February 12, 1990. The youngest patients was 18 years old and the oldest 64 years old. The four patients presented with different symptoms suggesting a cardiac contusion. The retrosternal pain was the principal clinical manifestation. From the methods used for the diagnosis, alterations of the ST segment and of the T wave in the electrocardiograms and the rise in serum MB fraction of creatine phosphokinase above 5 % were found to be the most useful elements for the diagnosis. The prognostic indicators were 20 in cases 1, 2, and 3 (severe with no risk of death) and in case 4 were 34 (severe with risk of death). All patients had a satisfactory evolution

Keywords : CONTUSIONS; HEART INJURIES.