Collateral Damage: Gun Violence-Induced STEMI

Nimish N Shah1,2, Bradley Kay1,2, Nona M Jiang2

  • 1Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

This case study details a young man with chest trauma from gunshot wounds who developed ST-segment elevations during surgery. It highlights the swift, multidisciplinary approach to managing this rare cardiac injury.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Critical Care Medicine

Background:

  • Chest trauma from gunshot wounds can lead to complex injuries.
  • Perioperative cardiac complications require prompt recognition and management.
  • ST-segment elevations typically indicate myocardial ischemia or infarction.

Observation:

  • A young male patient sustained chest trauma due to multiple gunshot wounds.
  • Perioperative electrocardiogram revealed regional ST-segment elevations.
  • The patient's presentation suggested an unusual form of cardiac injury.

Findings:

  • The ST-segment elevations were a perioperative finding in a trauma patient.
  • A multidisciplinary team was rapidly assembled for evaluation.
  • The case illustrates the management of an atypical cardiac injury presentation.

Implications:

  • Early identification of cardiac injury in trauma is crucial.
  • Multidisciplinary collaboration enhances patient outcomes in complex cases.
  • This case expands understanding of cardiac injury manifestations in penetrating trauma.

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