Cardiac contusion: Difference between revisions
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==Background== | ==Background== | ||
===Commotio Cordis== | |||
*Specific type | |||
*Most common cause of cardiac death in athlete | |||
*sudden death w/o abnl heart from trauma to cw at vent depolarization= vf & death. | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 03:20, 17 July 2011
Background
=Commotio Cordis
- Specific type
- Most common cause of cardiac death in athlete
- sudden death w/o abnl heart from trauma to cw at vent depolarization= vf & death.
Diagnosis
- Physical
- New murmur
- EKG
- most common abnormality in order
- Sinus tachy
- PVCs
- A. fib
- most common abnormality in order
- do NOT need enzymes
Treatment
- Treat arrythmia prn
- Do NOT treat prophylacticly (incr mort!)
- NO thrombolitics for AMI here (incr mort)
severity depends on underlying cad b/c inflamm chngs= redistribute coronary flow that may= ischemic cp.
Disposition
Observation for 6 hours
Admit (tele) for:
- abnl physical
- abnl ekg
- hypotension