Electrocardiographic changes following a cardiac stab wound. Case report and review of the literature.
A patient is described who sustained a cardiac stab wound which was associated with ECG evidence of a full thickness myocardial infarction. Subsequent investigation showed a localized area of dyskinesia on left ventricular angiography, but normal thallium myocardial perfusion and normal anatomy on coronary angiography. The patient was managed conservatively and made a complete and uneventful recovery. It is concluded that extensive ECG changes following a cardiac stab wound need not be associated with major coronary artery damage.
D000293:Adolescent; D003331:Coronary Vessels; D004562:Electrocardiography; D006335:Heart Injuries / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D011030:Pneumothorax / Q000209:etiology; D014951:Wounds, Stab / Q000150:complications / Q000503:physiopathology*