TY - CHAP M1 - Book, Section TI - Traumatic Heart Disease A1 - Bashore, Thomas M. A1 - Granger, Christopher B. A1 - Jackson, Kevin P. A1 - Patel, Manesh R. A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. PY - 2020 T2 - Current Medical Diagnosis and Treatment 2020 AB - Trauma is the leading cause of death in patients aged 1–44 years; cardiac and vascular trauma is second only to neurologic injury as the reason for these deaths. Penetrating wounds to the heart are often lethal unless surgically repaired. In a 20-year review of penetrating trauma at a single institution, it was found that gunshot wounds were fatal 13 times more often than stab wounds and that factors such as hypotension, Glasgow Coma Score less than 8, Revised Trauma Score less than 7.84, associated injuries, and the more severe the injuries (Injury Severity Score greater than 25) all added to the mortality and morbidity risk. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2022/05/26 UR - accessmedicine.mhmedical.com/content.aspx?aid=1166612658 ER -