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Introduction
  • Physical external trauma to the heart leading to mycocardial muscle contusion, cardiac chamber rupture, valvular disruption.
Presentation
  • Symptoms
    • chest discomfort
  • Physical exam
    • hypotension
    • arrythmias
    • signs of MI
Evaluation
  • EKG
    • premature ventricular cotractions
    • unexplained sinus tachycardia
    • atrial fibrillation
    • bundle branch block
    • ST changes, may mimic a myocardial infarction  
  • Echocardiography
  • Cardiac enzymes
 

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