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Trauma induced myocardial infarction.

Georges A Lolay1, Ahmed K Abdel-Latif2

  • 1University of Kentucky Medical Center, Gill Heart Institute, 900S. Limestone St. Rm 304B, Wethington Bldg, Lexington, KY 40536, United States.

International Journal of Cardiology
|October 23, 2015
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Summary

Blunt chest trauma in athletes can cause rare cases of myocardial infarction due to coronary artery dissection. This case highlights a soccer player experiencing acute inferior wall myocardial infarction after blunt chest trauma.

Keywords:
Blunt traumaDissectionMyocardial infarction

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Area of Science:

  • Sports medicine
  • Cardiology
  • Trauma surgery

Background:

  • Chest trauma in athletes is common, but myocardial infarction from coronary dissection is exceptionally rare.
  • Blunt chest trauma can lead to severe cardiac complications, necessitating prompt diagnosis and management.

Observation:

  • A 32-year-old male athlete presented with acute retrosternal chest pain after being elbowed during a soccer game.
  • Electrocardiogram revealed ST-segment elevation in inferior leads, indicative of acute myocardial infarction.
  • Coronary angiography showed a thrombotic occlusion in the right coronary artery, revealing a focal dissection post-thrombus aspiration.

Findings:

  • The patient underwent successful stenting of the dissected coronary artery.
  • He was discharged two days post-admission with residual inferior wall akinesis but preserved ejection fraction.
  • This case demonstrates a rare instance of myocardial infarction secondary to coronary artery dissection following blunt chest trauma.

Implications:

  • Highlights the importance of considering coronary artery dissection in athletes presenting with chest trauma and myocardial infarction symptoms.
  • Emphasizes the need for rapid cardiac evaluation and intervention in such cases.
  • Suggests that prompt diagnosis and percutaneous coronary intervention can lead to favorable outcomes even in rare traumatic cardiac injuries.