| Acute myocardial infarction due to left anterior descending coronary artery dissection after blunt chest trauma. | |
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MedLine Citation:
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PMID: 19214607 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiac complications of chest trauma range from arrhythmias to valvular avulsions to myocardial contusion, rupture, and rarely myocardial infarction. We describe a case of a young patient with blunt chest trauma after a motor vehicle accident in whom the diagnosis of myocardial infarction was established a week later because no electrocardiogram or cardiac biomarkers were obtained on presentation. Retrospective review of contrast-enhanced computed tomography (CT) of the chest done on presentation demonstrated a perfusion defect in the distribution of the left anterior descending artery (LAD). Subsequent coronary angiography demonstrated dissection in the proximal LAD. Our case illustrates the importance of electrocardiography and contrast-enhanced chest CT in initial evaluation of patients with blunt chest trauma and suspected injury to the coronary arteries. |
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Authors:
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Gerard Oghlakian; Pierre Maldjian; Edo Kaluski; Muhamed Saric |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-02-13 |
Journal Detail:
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Title: Emergency radiology Volume: 17 ISSN: 1438-1435 ISO Abbreviation: Emerg Radiol Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-04 Completed Date: 2010-04-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431227 Medline TA: Emerg Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 149-51 Citation Subset: IM |
Affiliation:
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Department of Medicine, New Jersey Medical School, Newark, NJ, USA. drgerhald@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic* Adult Contrast Media* Echocardiography / methods Emergency Medicine Female Humans Myocardial Infarction / etiology*, ultrasonography Thoracic Injuries / complications*, ultrasonography Wounds, Nonpenetrating / complications*, ultrasonography |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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