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ACR Appropriateness Criteria® Blunt Chest Trauma-Suspected Cardiac Injury.

Authors :
Expert Panels on Cardiac Imaging and Thoracic Imaging
Stojanovska, Jadranka
Hurwitz Koweek, Lynne M
Chung, Jonathan H
Ghoshhajra, Brian B
Walker, Christopher M
Beache, Garth M
Berry, Mark F
Colletti, Patrick M
Davis, Andrew M
Hsu, Joe Y
Khosa, Faisal
Kicska, Gregory A
Kligerman, Seth J
Litmanovich, Diana
Maroules, Christopher D
Meyersohn, Nandini
Syed, Mushabbar A
Tong, Betty C
Villines, Todd C
Source :
Journal of the American College of Radiology; Nov2020, Vol. 17 Issue 11, pS380-S390, 11p
Publication Year :
2020

Abstract

Blunt cardiac injuries range from myocardial concussion (commotio cordis) leading to fatal ventricular arrhythmias to myocardial contusion, cardiac chamber rupture, septal rupture, pericardial rupture, and valvular injuries. Blunt injuries account for one-fourth of the traumatic deaths in the United States. Chest radiography, transthoracic echocardiography, CT chest with and without contrast, and CT angiography are usually appropriate as the initial examination in patients with suspected blunt cardiac injury who are both hemodynamically stable and unstable. Transesophageal echocardiography and CT heart may be appropriate as examination in patients with suspected blunt cardiac injuries. This publication of blunt chest trauma-suspected cardiac injuries summarizes the literature and makes recommendations for imaging based on the available data and expert opinion. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15461440
Volume :
17
Issue :
11
Database :
Supplemental Index
Journal :
Journal of the American College of Radiology
Publication Type :
Academic Journal
Accession number :
146861107
Full Text :
https://doi.org/10.1016/j.jacr.2020.09.012