Myocardial contusion is characterized as a bruise on the heart muscle that occurs along with significant bodily harm. Bodily injuries and accidents can lead to myocardial contusion. The heart muscle can end up damaged if the chest is subjected to blunt force or pressure.
This condition is typically caused by a vehicular accident, falls from a height and after receiving chest compressions during CPR.
The condition can vary from minor to severe. A doctor should be consulted so that the injury can be properly assessed. The condition can result to complications especially if it is severe and not treated.
Indications
The indications of myocardial contusion tend to vary based on the type of accident and severity of the injury. In most cases, the symptoms that might arise include:
- Intense pain above the ribs
- Weakness
- Elevated heart rate
- Nausea
- Excessive fatigue
- Vomiting
- Lightheadedness
- Shortness of breath
If any of these symptoms are present, it requires immediate assessment. The indications of a severe contusion might strikingly mimic a heart attack.
Management
The treatment that is started is based on the injuries sustained. In some instances, an electrocardiogram is done for 24 hours to monitor the heart continuously. The emergency treatment might involve oxygen if breathing issues are present.
The individual might be referred for further testing if unusual symptoms are detected which includes:
- Drainage of blood from the heart
- Placement of a chest tube to prevent the accumulation of fluid in the chest
- Surgery to fix the blood vessels
- Placement of a pacemaker to regulate the heartbeat
There are also over-the-counter medications such as ibuprofen and acetaminophen that might be recommended to alleviate the pain. A doctor should be consulted first if pregnant or using other pain medications.
In most cases of myocardial contusions, they can be treated. The minor cases are the most common and the recovery rates are high. Nevertheless, the individual might be at danger for additional health complications if the injury is severe. Take note that substantial injuries can result to heart failure in the future.