Myocardial contusion is a bruise of the heart muscle.
The most common causes are:
A severe myocardial contusion may lead to signs and symptoms of a heart attack.
Symptoms can include:
The doctor or nurse will perform a physical exam. This may show:
Tests may include:
These tests may show:
In most cases, you will be closely monitored for at least 24 hours. An electrocardiogram (ECG) will be done continually to check your heart function.
Emergency room treatment may include:
Other therapies may be used to treat a heart injury, include:
People with a mild myocardial contusion will recover completely most of the time.
Serious heart injuries can increase your risk for heart failure or heart rhythm problems.
The following safety tips may help prevent a heart bruise:
Blunt myocardial injury
Eckstein M, Henderson SO. Thoracic trauma. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Mosby Elsevier; 2013:chap 45.
Jones RF, Rivers EP. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Saunders Elsevier; 2013:chap 18.
Updated by: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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