[Acute posttraumatic myocardial infarct: the necessity of an early interventionist posture].
We describe five cases of posttraumatic anterior acute myocardial infarction in young patients, without previous heart disease. One case was treated with intracoronary thrombolysis and angioplasty, 3 cases received systemic thrombolysis, and the last one did not have any re-permeabilization therapy, having arrived to the hospital 72 hours after the episode. The coronary angiograms showed at the left anterior descending artery: thrombosis in 3 cases, coronary dissection in one case, and slow flow with no morphological lesions in the other. The case which not received thrombolytic therapy developed a severe left ventricular dysfunction. In conclusion we emphasize an early angiographic study, in order to decide the re-permeabilization therapy.
Calvo Orbe
L
L
Unidad Médico-Quirúrgica de Cardiología, Hospital La Paz, Madrid.
Sobrino
N
N
García Gallego
F
F
Sotillo
F
F
López-Sendón
J L
JL
Coma
I
I
Frutos
A
A
González
J
J
Sobrino
J A
JA
Navarro
J M
JM
D000063:Accidents, Traffic; D000328:Adult; D001265:Athletic Injuries / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D012916:Soccer / Q000293:injuries; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis*; D015912:Thrombolytic Therapy; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis*
Infarto agudo de miocardio postraumático: necesidad de una actitud intervencionista precoz.