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Article |

Lack of Significant Long-term Sequelae Following Traumatic Myocardial Contusion

Mary Sturaitis, MD; Duncan McCallum, MD; Garnette Sutherland, MD, FRCS(C); Helen Cheung, MSc; Albert A. Driedger, MD, PhD, FRCP(C); William J. Sibbald, MD, FRCP(C), FCCP
Arch Intern Med. 1986;146(9):1765-1769. doi:10.1001/archinte.1986.00360210149021.
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• We assessed the possibility of long-term functional cardiac sequelae in patients who had sustained a traumatic myocardial contusion (group 1) by comparing this group with a cohort group of patients with similar traumatic injuries but exclusive of the cardiac component (group 2). More than one year following injury, patients in group 1 were qualitatively indistinguishable from patients in group 2 according to the New York Heart Association classification. Both the left and the right ventricular ejection fractions, less in group 1 than in group 2 immediately following trauma, were similar between groups during follow-up study at rest. During exercise to maximal work load at follow-up, changes in the mean right and left ventricular ejection fractions were also similar between the two patient groups. We therefore concluded that traumatic myocardial contusion to the left and/or right ventricle almost always resolves without significant functional sequelae within one year of injury.

(Arch Intern Med 1986;146:1765-1769)


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