Myocardial contusion

Discussion:

A strong impact to the front of the chest oftentimes results in myocardial contusion.

A fractured sternum indicates high kinetic energy at the impact and elevated Troponin levels and chest pain after such an injury confirm myocardial contusion.

When cardiac MRI is performed, we look for all the typical changes, that occur with the myocardial infarction, myocarditis or other cardiac pathology. We can see myocardial edema and early enhancement, which can persist for some months and we usually see area of myocardial late enhancement, that can be transmural, but does not correspond to the vascular territories.

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