0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Myocardial Contusion Due to Steering Wheel Injury

Daniel Kahn, MD
JAMA. 1967;200(3):255-257. doi:10.1001/jama.1967.03120160121028.
Text Size: A A A
Published online

IN the present age of high-speed automobile transport and increasing frequency of traffic accidents, one expects to encounter a growing number of chest injuries with cardiac involvement. Those of the direct, penetrating type are readily recognizable, but the nonpenetrating, indirect injuries to the heart may be overlooked. Early diagnosis is essential, not only because specific surgical treatment may be available for cardiac rupture or tamponade, but also because the management of myocardial contusion may be similar to that of myocardial infarction.

The first reported case of myocardial contusion due to nonpenetrating chest injury was described by Akenside1 in 1763. A 14-year-old boy was struck in the chest by a plate. Autopsy six months later revealed extensive necrosis of the left ventricular wall, covered by adherent pericardium. Urbach2 in 1940 found 185 cases of cardiac injury among 1,000 autopsy cases of chest contusion. From 1900 to 1937, 108 cases

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();