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Submitted: 04 May 2018
Revision: 14 Apr 2019
Accepted: 22 Jun 2019
ePublished: 21 Jul 2019
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J Cardiovasc Thorac Res. 2019;11(3): 251-253.
doi: 10.15171/jcvtr.2019.42
PMID: 31579468
PMCID: PMC6759617
  Abstract View: 226
  PDF Download: 178

Case Report

Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma

Marzieh Nikparvar 1 ORCID logo, Sayed Mohammadbagher Asghari 2, Hossein Farshidi 1 * ORCID logo

1 Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
2 Shaheed Mohammadi Educational Hospital, Bandar Abbas, Iran

Abstract

A 19 year old man was admitted to emergency department (ED) because of motorcycle to motorcycle accident. In ED he was evaluated as a multiple trauma patient and after overnight observation, was discharged with stable vital signs (VS) next morning. Twenty four hours later, he developed chest pain and dyspnea, and was admitted to ED for the second time. This time he was evaluated as a chest trauma patient and chest X ray and CT scanning were performed. According to cardiology consult, an electrocardiogram was recorded and extensive anterolateral ST elevation myocardial infarction (STEMI) was confirmed. Coronary angiography revealed total thrombotic occlusion of left anterior descending artery (LAD) from ostium. Percutaneous coronary intervention (PCI) was performed and LAD stented successfully. After 10 days of ICU admission, he was discharged with an ejection fraction (EF) of 35%.
Keywords: Myocardial Infarction, Blunt Chest Trauma, Percutaneous Coronary Intervention
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Abstract View: 226

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PDF Download: 178

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