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Updated: Jun 23, 2026

A Murine Closed-chest Model of Myocardial Ischemia and Reperfusion
Published on: July 17, 2012
Acute myocardial infarction caused by blunt chest trauma: a case report
Hangyuan Guo1, Jufang Chi1, Ming Yuan1
1Department of Cardiology, Shaoxing People's Hospital, Shaoxing, Zhejiang, 312000 China.
Insights
A woman experienced acute myocardial infarction after trauma. Coronary angiography revealed spiral intimal dissection, successfully treated with angioplasty and percutaneous coronary intervention (PCI).
Area of Science:
- Cardiology
- Trauma Medicine
- Interventional Cardiology
Background:
- Blunt chest trauma can precipitate cardiac events.
- Acute myocardial infarction (AMI) diagnosis relies on ECG and cardiac biomarkers.
Observation:
- A 56-year-old woman presented with chest trauma and symptoms suggestive of AMI.
- Elevated CK-MB and troponin I levels confirmed myocardial injury.
- Coronary angiography identified a spiral intimal dissection in the left anterior descending artery.
Findings:
- The intimal dissection was successfully treated with angioplasty and percutaneous coronary intervention (PCI).
- The patient demonstrated a positive clinical response post-procedure.
Implications:
- Trauma-induced coronary artery dissection is a rare but serious complication.
- Timely diagnosis and intervention, including PCI, are crucial for favorable outcomes.
- This case highlights the importance of considering cardiac injury in trauma patients.
Abstract:
A 56-year-old woman hit by the heavy objects was admitted to the emergency room. ECG changes and increased CK-MB and troponin I suggested acute myocardial infarction. Three weeks later, coronary angiography was performed and revealed a spiral intimal dissection in the proximal left anterior descending coronary artery. Patient underwent angioplasty and percutaneous coronary intervention (PCI) in the left anterior descending artery. She felt good and discharged on 7 days later after procedure.
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