Earlier diagnosis of the heart contusions for patients with closed chest injury

Closed chest injury (CCI) is one of the most urgent problems of traumatology and cardiology. The most severe and life-threatening injuries to the heart, including contusion, are those caused by a CCI. In peacetime, cardiac contusion arises from mechanical impact on the chest. Most often, this situation occurs during high-speed car accidents at the moment of sudden braking when a car collides with an obstacle and, as a result, the chest collides with the steering wheel or steering column. Timely diagnosis and treatment of cardiac contusions are the key to reducing complications in CCI. To study the possibilities of various diagnostic approaches in patients with closed heart contusions, analyzing the literature data of domestic and foreign studies. Having made a review based on data from domestic and foreign studies, we have established that on present day there is not any diagnosis method which does not have a high probability of determining a heart injury probability for degree of heat injury in early stage after trauma. The clinical picture of a heart contusion is also not specific, which does not allow identifying this type of injury in most cases. This leads to a lack of timely and adequate therapy and the development of various complications, including fatal ones. The only reliable method of diagnosing a heart contusion today is a histological examination of the myocardium, which cannot be performed during life. The search for new methods for the timely diagnosis of cardiac contusions is an urgent interdisciplinary task. The article provides a justification for the possibility of determining markers of secondary mitochondrial dysfunction of cardiomyocytes for the early diagnosis of closed contusions of the heart.