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Daniel P. Harley, MD; Ismael Mena, MD; Rodrigo Miranda, MD; Ronald J. Nelson, MD

Arch Surg. 1983;118(12):1384-1387.

Abstract
• We prospectively studied 35 patients with blunt chest trauma using ECG multi-gated and first-pass nuclear angiography. Radionuclide angiography (RNA) is a sensitive test of myocardial function demonstrating right and left ventricular ejection fractions. First-pass angiography, in addition, shows left ventricular segmental wall motion, a qualitative as well as anatomic indicator of left ventricular function. We saw RNA abnormalities in 26 patients (74.2%). Eight patients (22.8%) had ECG abnormalities, and these findings correlated with RNA, suggesting that this technique is a very sensitive indicator of myocardial dysfunction following trauma. These studies warrant further experimental and clinical evaluations to determine the cause, significance, and long-term prognosis of posttraumatic myocardial dysfunction.

(Arch Surg 1983;118:1384-1387)

Author Affiliations
From the Department of Surgery (Drs Harley, Miranda, and Nelson) and the Division of Nuclear Medicine (Dr Mena); Los Angeles County Harbor/ UCLA Medical Center, Torrance; and the UCLA School of Medicine.

Footnotes
Accepted for publication Aug 3, 1983.

Read before the Annual Meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 15, 1983.

Reprint requests to Harbor/UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509 (Dr Harley).

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