Document Detail


Blunt chest trauma as a cause of acute myocardial infarction.
MedLine Citation:
PMID:  25092198     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Chest pain after thoracic trauma may be a symptom of cardiac injury or myocardial infarction. A 63-year-old healthy man had chest pain after blunt chest trauma in a motor vehicle accident. Chest computed tomography scan showed a displaced sternal fracture, lung contusion in the left upper lobe, atelectasis and consolidation in both lower lobes, and bilateral haemothorax. Electrocardiography showed ST elevation (2 mm) in leads II, III, and aVF and ST depression (2 mm) in leads I and aVL, consistent with acute inferior myocardial infarction. Urgent coronary angiography showed ostial occlusion of the right coronary artery. After the right coronary occlusion was passed with a guide wire, dissection of the right coronary artery was observed and treated with a balloon and stent to reestablish normal flow. This case emphasizes the importance of a high index of suspicion for coronary artery injury and myocardial infarction after blunt chest trauma.
Authors:
Hasan Kara; Ahmet Avcı; Murat Akinci; Selim Degirmenci; Aysegul Bayir; Ahmet Ak
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-8-4
Journal Detail:
Title:  Acta clinica Belgica     Volume:  -     ISSN:  1784-3286     ISO Abbreviation:  Acta Clin Belg     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-8-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370306     Medline TA:  Acta Clin Belg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  2295333714Y0000000047     Citation Subset:  -    
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