Acute and long-term clinical significance of @entity296 following blunt XXXX : results of a prospective study.

@entity1 @entity296 @entity764 @entity299 @entity130
BACKGROUND: The clinical significance of @entity296 ( @entity296 ) following blunt @entity130 is still unknown. Accordingly, in this prospective study in a regional @entity130 center we investigated the acute and long-term clinical significance of @entity296 . METHODS: One-hundred eighteen @entity1 with manifest or suspected blunt @entity130 were evaluated for @entity299 . Initial assessment was based on results of electrocardiographic, echocardiographic, and serial enzyme measurements. A follow-up (FU) assessment conducted at 3 and 12 months, respectively, was performed using electrocardiography, echocardiography, and a bicycle ergometry exercise test. RESULTS: Of the 118 @entity1 in the total sample, 67 (56.8%) required admission to the surgical intensive care unit (SICU) because of the severity of their noncardiac injuries. Fourteen @entity1 of the total sample (11.8%) were diagnosed with @entity296 and 13 of these (92.9%) belonged to the intensive care admissions, thus representing an incidence of 19.4% in this @entity1 group. During the hospitalization period none of the @entity1 with @entity296 experienced acute @entity299 . Eighty-six @entity1 (72.0%) were assessed at FU. No new pathologies were found except in one @entity1 . Exercise testing revealed no ECG abnormalities and none of the @entity1 experienced limitations on the bicycle ergometer due to a cardiac cause. CONCLUSIONS: The incidence of 19.7% of @entity296 in our @entity1 with blunt @entity764 requiring intensive care treatment indicates that this condition is frequent in polytraumatized @entity1 . Outcome and prognosis in @entity1 with @entity296 is favorable and, thus, routine cardiac work-up is not indicated. Specific diagnostic and therapeutic measures should be limited to cases where @entity299 develop.
