title: Acute myocardial infarction after blunt chest trauma in young people: need for prompt intervention.
abstract: We describe four cases of acute myocardial infarction in young patients, secondary to blunt chest trauma. One case was treated with intracoronary thrombolysis and angioplasty, two cases received systemic thrombolysis, and the last one did not have any reperfusion therapy. The coronary angiograms of the left anterior descending artery showed thrombosis in two cases, coronary dissection in one case, and no morphological lesions in the other. We encourage the early performance of angiographic studies in these patients, adjusting the therapy to their pathophysiologic mechanism.
authors.affiliation: Hospital La Paz, Madrid, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Calvo Orbe
authors.forename: F
authors.initials: F
authors.lastname: Garcia Gallego
authors.forename: N
authors.initials: N
authors.lastname: Sobrino
authors.forename: J
authors.initials: J
authors.lastname: Sotillo
authors.forename: J L
authors.initials: JL
authors.lastname: Lopez-Sendon
authors.forename: J
authors.initials: J
authors.lastname: Oliver
authors.forename: I
authors.initials: I
authors.lastname: Coma
authors.forename: A
authors.initials: A
authors.lastname: Frutos
authors.forename: J A
authors.initials: JA
authors.lastname: Sobrino
authors.forename: J M
authors.initials: JM
authors.lastname: Navarro
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D012916:Soccer / Q000293:injuries; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*