Commotio cordis echocardiography or ultrasound
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Commotio cordis Microchapters |
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Diagnosis |
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Commotio cordis echocardiography or ultrasound On the Web |
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American Roentgen Ray Society Images of Commotio cordis echocardiography or ultrasound |
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Risk calculators and risk factors for Commotio cordis echocardiography or ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maryam Hadipour, M.D.[2]
Overview
Echocardiography or ultrasound
Echocardiography holds a vital role in both diagnosing and assessing commotio cordis. By employing echocardiography, potential structural anomalies or heart injuries caused by the impact can be detected. Furthermore, it enables an evaluation of heart functionality and the identification of indications for pericardial effusion or additional complications.
Echocardiography can aid in the diagnosis of specific cardiac injuries.
- Doppler echocardiography:
- can be used to diagnose coronary artery rupture.
- Transthoracic or Transesophageal echocardiography:
- can help identify pericardial tamponade and cardiac lacerations
- follow-up and monitor the resolution of pericardial effusion and assess any changes in cardiac function over time
- information for risk stratification and prognosis
These diagnostic capabilities are particularly important in severe cases of blunt chest trauma, as emergency thoracotomy may be required for immediate surgical repair of cardiac injuries.
It is important to note that echocardiography should be performed promptly after the return of spontaneous circulation (ROSC) in patients who have experienced cardiac arrest. Delayed echocardiography may result in missed diagnoses and delayed treatment of conditions such as post-arrest myocardial dysfunction (PAMD). Rapid echocardiography is necessary for the timely diagnosis of PAMD and the identification of reversible causes of in-hospital cardiac arrest[1].