Vol. 20 No. 1 (2016)
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Clinical and morphological aspects of heart injury diagnostics

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  • S. Savchenko,
  • V. Novoselov,
  • D. Koshlyak,
  • A. Porvin,
  • G. Kazanskaya
S. Savchenko
Novosibirsk State Medical University, 52 Krasny Avenue, 630091 Novosibirsk; Novosibirsk Regional Clinical Bureau of Forensic Medical Examination, 134 Nemirovicha-Danchenko St., 630087 Novosibirsk
V. Novoselov
Novosibirsk State Medical University, 52 Krasny Avenue, 630091 Novosibirsk; Novosibirsk Regional Clinical Bureau of Forensic Medical Examination, 134 Nemirovicha-Danchenko St., 630087 Novosibirsk
D. Koshlyak
Novosibirsk State Medical University, 52 Krasny Avenue, 630091 Novosibirsk
A. Porvin
Novosibirsk State Medical University, 52 Krasny Avenue, 630091 Novosibirsk; Novosibirsk Regional Clinical Bureau of Forensic Medical Examination, 134 Nemirovicha-Danchenko St., 630087 Novosibirsk
G. Kazanskaya
Novosibirsk State Medical University, 52 Krasny Avenue, 630091 Novosibirsk
DOI: https://doi.org/10.21688/1681-3472-2016-1-40-46

Published 2016-03-25

Keywords

  • cardiac contusion,
  • clinical studies,
  • morphology,
  • diagnostics

How to Cite

Savchenko, S., Novoselov, V., Koshlyak, D., Porvin, A., & Kazanskaya, G. (2016). Clinical and morphological aspects of heart injury diagnostics. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 20(1), 40–46. https://doi.org/10.21688/1681-3472-2016-1-40-46

Copyright (c) 2016 Savchenko S.V., Novoselov V.P., Koshlyak D.A., Porvin A.N., Kazanskaya G.M.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The article presents recent data on clinical and morphofunctional changes developing due to the injury of the heart. The estimation methods of clinical examination of victims, laboratory data and autopsy diagnosis of this type of cardiac injury are assessed. For timely clinical diagnosis of cardiac contusion, it is essential to identify injury-related arrhythmogenic conditions and heart rate disorders, as well as increased level of cardiac troponins in plasma, reduced ejection fraction and increased left ventricular volume. Morphological evaluation of cardiac contusion should be based on the detected injuries of the chest and locus of heart muscle damage. Of great importance for diagnostics are multiple subsegmentary contractures, loci of relaxation and dissociation of muscle fibers in combination with prevalent intramural hemorrhage, response of microcirculatory vessels with a specific slow of blood flow and erythrocyte aggregation.

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