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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015


CORTES VALERIO, Asdrúbal et al. Electrophysiological and/or biochemical alterations of cardiac trauma. Med. leg. Costa Rica [online]. 2019, vol.36, n.1, pp.62-67. ISSN 2215-5287.

Heart trauma is one of the leading causes of mortality in the general population. The vast majority are caused by automobile accidents. Its diagnosis is difficult and requires a high index of suspicion in closed trauma. It has a very high mortality rate, close to 76%. There are several diagnostic methods available to facilitate its detection, but none can reach a sensitivity close to 100%. Contusive heart trauma can range from asymptomatic cardiac injury to cardiac rupture and death. Currently, biochemical markers are used as cardiac enzymes, with Troponin I being the most specific; and electrophysiological findings in the electrocardiogram suggestive of branch block and sinus tachycardia, these being the most frequently found.

Keywords : Cardiac trauma; biomarkers; electrocardiographic changes; cardiac contusion; arrhythmia.

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