Penetrating cardiac trauma

William G. Marshall, John Bell, Nicholas T. Kouchoukos

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Abstract

During a 10V4 year interval ending in June 1980, 47 patients with penetrating cardiac trauma were managed at The University of Alabama Medical Center. Thirty-nine patients (83%) were male. Mean age was 31 years (range, 13 to 69). Thirty-two patients (68%) sustained stab wounds (SW) and 15 patients (32%) gunshot wounds (GSW). Forty-two patients (89%) arrived hypotensive (systolic blood pressure less than 90 mm Hg). Twenty-seven patients (57%) had evidence of cardiac tamponade (central venous pressure greater than 15 cm H2O) and 25 of these 27 patients were also in shock. Forty patients (85%) presented with a normal sinus rhythm and seven patients (15%) had an idioventricular rhythm or asystole. Overall mortality was 23% (11 of 47 patients). Forty-three per cent of the patients sustaining GSW (6/14) died compared to 17% (5/33) of the patients with SW (p = 0.04). Mortality for the patients in shock was 26% and for those with cardiac tamponade 15%. Mortality was 16% for the patients with both shock and cardiac tamponade. Thirteen per cent of the patients in normal sinus rhythm died, while 87% of the patients with idioventricular rhythm or asystole died (p < 0.0001). Mortality in penetrating cardiac trauma remains high, particularly in patients with GSW and in those patients presenting with an idioventricular rhythm or asystole.

Original languageEnglish (US)
Pages (from-to)147-149
Number of pages3
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume24
Issue number2
DOIs
StatePublished - Jan 1 1984

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Wounds and Injuries
Gunshot Wounds
Cardiac Tamponade
Heart Arrest
Stab Wounds
Shock
Mortality
Blood Pressure
Central Venous Pressure

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Penetrating cardiac trauma. / Marshall, William G.; Bell, John; Kouchoukos, Nicholas T.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 24, No. 2, 01.01.1984, p. 147-149.

Research output: Contribution to journalArticle

Marshall, William G. ; Bell, John ; Kouchoukos, Nicholas T. / Penetrating cardiac trauma. In: Journal of Trauma - Injury, Infection and Critical Care. 1984 ; Vol. 24, No. 2. pp. 147-149.
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