@article{ref1,
title="The cardiac pendulum: blunt rupture of the pericardium with strangulation of the heart",
journal="Journal of trauma",
year="2005",
author="Wall, Matthew J. and Mattox, Kenneth L. and Wolf, Dwayne A.",
volume="59",
number="1",
pages="136-41; discussion 141",
abstract="BACKGROUND: Blunt injury of the pericardium with strangulation of the heart is a rare clinical injury. METHODS: We conducted a review of clinical records and performed prospective collection of forensic data from a large urban medical examiner's office. RESULTS: Ten cases of blunt injury to the pericardium were identified. All were secondary to blunt trauma. Nine of the 10 cases had associated chest wall injuries and 5 of the 10 cases had cardiac strangulation. CONCLUSION: Pericardial lacerations are common findings at autopsy. Clinically, those that survive to the hospital have a confusing presentation. They are often diagnosed during emergent thoracotomy for hemodynamic instability. Hemodynamic deterioration associated with change in patient position may be a clue to cardiac strangulation.<p /><p>Language: en</p>",
language="en",
issn="0022-5282",
doi="",
url="http://dx.doi.org/"
}