A writ of certiorari is an order a higher court issues in order to review the decision and proceedings in a lower court and determine whether there were any irregularities.
Immediate, early, or delayed acute pulmonary edema (associated with papillary muscle rupture), congestive heart failure (CHF; associated with ventricular septal rupture), and hypotension (associated with free-wall rupture) are the cardinal manifestations of myocardial rupture following blunt chest trauma.
Clinically, discerning the etiology of depressed myocardial contractile function is difficult, whether it is due to stunned myocardium, silent ischemia, or hibernating myocardium. Finding all 3 entities in the same patient with chronic myocardial dysfunction is not uncommon (see the image above).onsidering the frequency of ischemia and the prevalence of hibernating myocardium, recognition of hibernation and how it affects treatment are important. The mortality rate is higher in patients with hibernating myocardium who do not undergo revascularization.