Acute myocardial infarction related to blunt thoracic trauma.

نویسندگان

  • Bruno Laurenti Janella
  • Robério Júnior Damasceno Pinto
  • Henrique Patrus Mundim Pena
  • José Guilherme Carneiro
  • Marcos Roberto de Sousa
  • Marcos Almeida Magalhães Andrade Júnior
چکیده

Acute myocardial infarction (AMI) is a rare, potentially fatal and often unrecognized complication of blunt thoracic trauma (BTT). Heart injury is diagnosed in less than 10% of all cases of blunt thoracic trauma. Medical literature is scarce in publications about AMI caused by BTT (AMI-BTT). There is no specific protocol on this issue. We describe two cases of AMI-BTT in young patients who were previously healthy and with no risk factors for coronary artery disease. The diagnostic tools and therapeutic approach are discussed based on a literature review. We conclude that the emergency physician should be alert for the possibility of AMI in victims of BTT, regardless of the intensity of the trauma.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Coronary artery dissection after blunt chest trauma.

Blunt thoracic trauma may result in cardiac injuries ranging from simple arrhythmias to fatal cardiac rupture. Coronary artery dissection culminating in acute myocardial infarction (AMI) is rare after blunt chest trauma. Here we report a case of a 37-year-old man who had an AMI secondary to coronary dissection resulting from blunt chest trauma after involvement in a physical fight.

متن کامل

Acute apical myocardial infarction after blunt chest trauma incurred during a basketball game.

Acute myocardial infarction resulting from blunt chest trauma is an infrequent but potentially lethal complication of severe trauma such as that associated with motor vehicle accidents. The occurrence of acute myocardial infarction after minor blunt chest trauma incurred during sports is quite rare. A literature search found only three reported cases between 1980 and 1999. Family physicians are...

متن کامل

Left main coronary artery dissection after blunt chest trauma presented as acute anterior myocardial infarction: assessment by intravascular ultrasound: a case report.

Coronary artery injury after blunt chest trauma is very rare, but this can result in a serious acute myocardial infarction. Coronary artery dissection is an uncommon complication of thoracic injuries. We report a case of a 17-year-old male who was presented with an anterior myocardial infarction following blunt chest trauma after a bicycle accident. His coronary angiography revealed aneurysmal ...

متن کامل

An autopsy case of blunt chest trauma from a traffic accident complicated by chest compression due to resuscitation attempts

Coronary artery dissection leading to acute myocardial infarction after blunt chest trauma is extremely rare. A 67-year-old woman suffered blunt chest trauma following a traffic accident. The electrocardiogram revealed acute posterior ST-segment elevation and myocardial infarction and coronary angiography demonstrated acute right coronary artery dissection. Following the death of the victim an ...

متن کامل

Early detection of myocardial infarction following blunt chest trauma by computed tomography: a case report

BACKGROUND Blunt cardiac trauma encompasses a wide range of clinical entities, including myocardial contusion, cardiac rupture, valve avulsion, pericardial injuries, arrhythmia, and even myocardial infarction. Acute myocardial infarction due to coronary artery dissection after blunt chest trauma is rare and may be life threatening. Differential diagnosis of acute myocardial infarction from card...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Arquivos brasileiros de cardiologia

دوره 87 6  شماره 

صفحات  -

تاریخ انتشار 2006