BMJ case reports, Volume 17, Issue 1, 24 4 2024, Pages e257082 Karate kick-induced myocardial contusion. Doornkamp RN, van Winden DF, Buiten MS, Josephus Jitta D
Myocardial contusion should be suspected in a selected patient group with blunt thoracic trauma, who have elevated troponin, ECG changes and/or haemodynamical instability. Echocardiography is useful for direct visualisation of possible complications. In stable conditions, MRI allows for good visualisation of the heart and can confirm a suspected myocardial contusion as well as demonstrate the extent of myocardial damage. Based on the present literature, the authors developed a diagram for the diagnostic approach of a patient with suspected myocardial contusion.
