Gunshot injury of the heart: an unusual cause of acute myocardial infarction.
A 30-year-old man had multiple pellet injuries after being shot. An asymptomatic, acute, inferior-wall myocardial infarction was detected on an electrocardiogram at the time of a pre-anesthetic evaluation for eye surgery. A computed tomographic scan of the chest confirmed the presence of an intracardiac foreign body. Coronary angiography showed occlusion of the distal right coronary artery by a pellet. The patient was managed conservatively with aspirin and metoprolol. In conclusion, a single coronary lesion, the absence of other cardiac complications, and a favorable outcome with conservative medical treatment after a gunshot injury contribute to the rarity of this case of myocardial infarction.
Bali
Harinder K
HK
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India. hkbali_pgi@rediffmail.com
Vijayvergiya
Rajesh
R
Banarjee
Sunip
S
Kumar
Nikhil
N
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D006321:Heart; D006335:Heart Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000150:complications*
D000319:Adrenergic beta-Antagonists; D000925:Anticoagulants; D008790:Metoprolol; D001241:Aspirin