Radiographic and Clinical Predictors of Cardiac Dysfunction Following Isolated Traumatic Brain Injury.

Journal Article (Journal Article)

INTRODUCTION: Although cardiac dysfunction after traumatic brain injury (TBI) has been described, there is little data regarding the association of radiographic severity and particular lesions of TBI with the development of cardiac dysfunction. We hypothesize that the Rotterdam or Marshall scores and particular TBI lesions are associated with the development of cardiac dysfunction after isolated TBI. METHODS: We performed a retrospective cohort study. Adult patients with isolated TBI who underwent echocardiography between 2003 and 2010 were included. A board-certified neuroradiologist assessed the first computed tomography head, assigning the Rotterdam and Marshall scores and the type of TBI. Cardiac dysfunction was defined as either systolic or all cause based on the first echocardiogram after TBI. Demographic, radiological, and clinical variables were used in our analysis. RESULTS: A total of 139 patients were identified, with 20 having isolated systolic dysfunction. The Marshall and Rotterdam scores were not associated with the development of cardiac dysfunction. Only head Abbreviated Injury Scale was found to be an independent predictor of systolic cardiac dysfunction (relative risk: 2.70, 95% confidence interval: 1.19-6.13; P = .02). CONCLUSIONS: No specific radiographic variable was found to be an independent predictor of cardiac dysfunction. Further study into clinical or radiological features that would warrant an echocardiogram is warranted, as it may direct patient management.

Full Text

Duke Authors

Cited Authors

  • Urdaneta, AE; Fink, KR; Krishnamoorthy, V; Rowhani-Rahbar, A; Vavilala, MS

Published Date

  • February 2017

Published In

Volume / Issue

  • 32 / 2

Start / End Page

  • 151 - 157

PubMed ID

  • 26584593

Pubmed Central ID

  • 26584593

Electronic International Standard Serial Number (EISSN)

  • 1525-1489

Digital Object Identifier (DOI)

  • 10.1177/0885066615616907


  • eng

Conference Location

  • United States