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Kenneth Waxman, MD; M. Hani Soliman, MD; Phillip Braunstein, MD; Paula Formosa, MD; Arthur J. Cohen, MD, PhD; Peter Matsuura, MD; G. Robert Mason, MD, PhD

Arch Surg. 1986;121(6):689-692.

Abstract
• Cardiac contusion following blunt chest trauma remains a diagnostic problem because of a lack of sensitive diagnostic tests. This study evaluated thallous chloride TI 201 single-photon—emission computed tomography in a series of 48 patients following blunt chest trauma. Of the 48 patients, 23 had normal scans. None of these patients proved to have serious arrhythmias during three days of continuous monitoring. Of 25 patients with abnormal or ambiguous studies, five (20%) developed serious arrhythmias requiring therapy. Single-photon—emission computed tomography scanning thus was sensitive in indicating that group of patients at risk of serious arrhythmias, and may therefore prove to be a useful screening test to determine the need for hospitalization and arrhythmia monitoring following blunt chest trauma.

(Arch Surg 1986;121:689-692)

Author Affiliations
From the Departments of Surgery (Drs Waxman, Soliman, Formosa, Matsuura, and Mason) and Radiology (Drs Braunstein and Cohen), University of California Irvine Medical Center, Orange.

Footnotes
Accepted for publication Jan 28, 1986.

Read before the 93rd Annual Meeting of the Western Surgical Association, Rochester, Minn, Nov 18, 1985.

Reprint requests to University of California Irvine Medical Center, 101 City Dr S, Orange, CA 92668 (Dr Waxman).

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