Myocardial contusion

Definition

Myocardial contusion is a bruise of the heart muscle.

Causes

The most common causes are:

Symptoms

A severe myocardial contusion may lead to signs and symptoms of a heart attack.

Symptoms can include:

Exams and Tests

The health care provider will perform a physical exam. This may show:

Tests may include:

These tests may show:

Treatment

In most cases, you will be closely monitored for at least 24 hours. An electrocardiogram (ECG) will be done continually to check your heart function.

Emergency room treatment may include:

Other therapies may be used to treat a heart injury, include:

Outlook (Prognosis)

People with a mild myocardial contusion will recover completely most of the time.

Serious heart injuries can increase your risk for heart failure or heart rhythm problems.

Prevention

The following safety tips may help prevent a heart bruise:


Review Date: 5/16/2018
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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