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Title: Fatal traumatic heart wounds: Review of 160 autopsy cases
Authors: Gündogmuş, Ümit Naci
Uludağ Üniversitesi/Tıp Fakültesi/Adli Tıp Anabilim Dalı.
Fedakar, Recep
Durak, Dilek
Turkmen, Nursel
Keywords: Heart
Penetrating cardiac injuries
Chest trauma
General & internal medicine
Issue Date: Aug-2005
Publisher: Israel Medical Assoc Journal
Citation: Fedakar, R. vd. (2005). "Fatal traumatic heart wounds: Review of 160 autopsy cases". Israel Medical Association Journal, 7(8), 498-501.
Abstract: Background: Despite many published retrospective analyses in cardiac injuries in treated patients, there is a striking scarcity of population-based studies that include autopsies. Objectives: To provide data on fatal traumatic heart wounds in autopsied cases. Methods: we reviewed 2,487 medico-legal autopsy records from the morgue of the Bursa branch of the Turkish Council of Forensic Medicine for the period 1997-2001. Results: Of these cases, 160 (6.4%) had cardiac injury; 13.8% were females and 86.2% males, and the mean age was 35.9 years (range 4-65). The most common cause of heart wounds was penetrating trauma (87.5%), namely sharp injuries (48.1%) and firearm injuries (39.4%). The two most common causes of blunt heart wounds were traffic accidents (5.6%) and falls from a height (5%). Rupture was present in 96.9% of the cases, and isolated left ventricle and isolated right ventricle were ruptured in 31.3% and 23.8%, respectively. In penetrating injury the risk of ventricular rupture was higher than of atrium rupture. Alcohol was detected in 16.3% of cases. Only 3.5% of the penetrating cardiac injury cases and 5% of the blunt cardiac injury cases were admitted to hospital. Conclusions: Given that only a very low percentage of the patients who sustain cardiac injury reach hospital alive, population-based studies, especially autopsy results, should be conducted to define the characteristics of cardiac injuries.
ISSN: 1565-1088
Appears in Collections:Scopus
Web of Science

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