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Penetrating Cardiac Injury

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Factors affecting prognosis with penetrating wounds of the heart.
Tyburski JG, Astra L, Wilson RF, Dente C, Steffes C.
J Trauma. 2000 Apr;48(4):587-90; discussion 590-1.

Rationale for inclusion: Once again, physiology and injury mechanism best determined outcomes after penetrating cardiac injury.

Citations - 190 (as of July 2017)

The role of ultrasound in patients with possible penetrating cardiac wounds: a prospective multicenter study.
Rozycki GS, Feliciano DV, Ochsner MG, Knudson MM, Hoyt DB, Davis F, Hammerman D, Figueredo V, Harviel JD, Han DC, Schmidt JA.
J Trauma. 1999 Apr;46(4):543-51; discussion 551-2.

Rationale for inclusion: A prospective, multi-center study demonstrating that ultrasound is not only sensitive for cardiac injury detection, but rapid also.

Citations - 310 (as of July 2017)

Penetrating cardiac injuries: a prospective study of variables predicting outcomes.
Asensio JA, Murray J, Demetriades D, Berne J, Cornwell E, Velmahos G, Gomez H, Berne TV.
J Am Coll Surg. 1998 Jan;186(1):24-34.

Rationale for inclusion: In this prospective analysis of penetrating cardiac injuries, physiologic condition and injury mechanism were the best predictors of outcomes.

Citations - 169 (as of July 2017)

The role of surgeon-performed ultrasound in patients with possible cardiac wounds.
Rozycki GS, Feliciano DV, Schmidt JA, Cushman JG, Sisley AC, Ingram W, Ansley JD.
Ann Surg. 1996 Jun;223(6):737-44; discussion 744-6.

Rationale for inclusion: In 247 patients, ultrasound 100% sensitivity, specificity, and accuracy in patients with possible cardiac wounds.

Citations - 150 (as of July 2017)

Use of echocardiography to detect occult cardiac injury after penetrating thoracic trauma: a prospective study.
Meyer DM, Jessen ME, Grayburn PA.
J Trauma. 1995 Nov;39(5):902-7; discussion 907-9.

Rationale for inclusion: 105 patients with penetrating thoracic trauma underwent both ECHO and subxiphoid window.  In patients without hemothoraces, ECHO sensitivity was 100%.

Citations - 152 (as of July 2017)

Subxiphoid pericardial window in patients with suspected traumatic pericardial tamponade.
Arom KV, Richardson JD, Webb G, Grover FL, Trinkle JK.
Ann Thorac Surg. 1977 Jun;23(6):545-9.

Rationale for inclusion: The use of subxiphoid pericardial window led to rapid diagnosis of hemoperricardium.

Citations - 110 (as of July 2017)

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