Role of transesophageal echocardiography in the assessment of patients with blunt chest trauma: Correlation of echocardiographic findings with the electrocardiogram and creatine kinase monoclonal antibody measurements☆,☆☆,★
Section snippets
Methods
This study was a multicenter prospective trial designed to evaluate the usefulness of TEE in the assessment of patients with BCT and to compare the TEE findings with those provided by other routine techniques like EGG and cardiac isoenzymes assay. The trial began on January 1993 and was concluded on April 1995. Three centers participated in the study: “Gregorio Marañón" General Hospital, “Juan Canalejo" Hospital, and Galicia General Hospital.
TEE
Of 117 patients with BCT enrolled in this study, 66 (56%) showed pathologic findings on TEE (group 1). In the remaining 51 (44%) patients TEE was normal or disclosed findings not attributable to the trauma (group 0). No differences were found in age (37 ± 2 years and 38 ± 2 years, respectively) nor in sex (men, 76% and 78%, respectively) between the two groups. The pathologic echocardiographic findings are listed in Table I.
Empty Cell n Percent Myocardial Abnormal regional wall motion Right
Discussion
BCT frequently results in cardiac damage. In our study, as in other previous works,5 clinical findings, ECG, and CK-MB levels did not predict the patients who had cardiac injuries. We conclude that TEE can be routinely and safely performed for diagnosing cardiac lesions in this setting and plays an important role in the evaluation and treatment of this type of patient.
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From the aLaboratory of Echocardiography, Department of Cardiology, and the bIntensive Care Unit, “Gregorio Marañón” General Hospital, Madrid, the cIntensive Care Unit, “Juan Canalejo” Hospital, La Coruña, and the dDepartment of Cardiology, Galicia General Hospital, La Coruña.
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Reprint requests: Miguel A. García-Fernández, MD, Hospital General Universitario “Gregorio Marañón”, Laboratorio de Ecocardiografía, Departamento de Cardiología, Doctor Esquerdo 46, 28007-Madrid, Spain.
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