The article discusses the nonpenetrating traumatic injuries to the heart, which are often overlooked due to their transient and subtle clinical manifestations. The authors emphasize the importance of recognizing these injuries for effective treatment and prevention of serious complications. The study analyzed 546 autopsy cases of nonpenetrating cardiac injuries, finding that myocardial rupture of a septum or chamber wall was the most common lesion. The mechanisms of these injuries are categorized into seven broad types: direct, indirect, bidirectional, decelerative, blast, concussive, and combined. Indirect forces, such as sudden compression or crushing, are a significant cause of cardiac injury. The incidence of nonpenetrating cardiac injuries is estimated to be around 10-75% in severe trauma cases, but the mortality rate is low. Pathological findings include pericardial hemorrhage, lacerations, hemopericardium, pericarditis, cardiac hemorrhage or contusion, and myocardial rupture. The article also highlights the clinical and electrocardiographic signs of cardiac injury, emphasizing the importance of early recognition and treatment to prevent complications such as arrhythmias and thromboembolic events.The article discusses the nonpenetrating traumatic injuries to the heart, which are often overlooked due to their transient and subtle clinical manifestations. The authors emphasize the importance of recognizing these injuries for effective treatment and prevention of serious complications. The study analyzed 546 autopsy cases of nonpenetrating cardiac injuries, finding that myocardial rupture of a septum or chamber wall was the most common lesion. The mechanisms of these injuries are categorized into seven broad types: direct, indirect, bidirectional, decelerative, blast, concussive, and combined. Indirect forces, such as sudden compression or crushing, are a significant cause of cardiac injury. The incidence of nonpenetrating cardiac injuries is estimated to be around 10-75% in severe trauma cases, but the mortality rate is low. Pathological findings include pericardial hemorrhage, lacerations, hemopericardium, pericarditis, cardiac hemorrhage or contusion, and myocardial rupture. The article also highlights the clinical and electrocardiographic signs of cardiac injury, emphasizing the importance of early recognition and treatment to prevent complications such as arrhythmias and thromboembolic events.