Acute myocardial infarction related to blunt thoracic trauma.
Acute myocardial infarction (AMI) is a rare, potentially fatal and often unrecognized complication of blunt thoracic trauma (BTT). Heart injury is diagnosed in less than 10% of all cases of blunt thoracic trauma. Medical literature is scarce in publications about AMI caused by BTT (AMI-BTT). There is no specific protocol on this issue. We describe two cases of AMI-BTT in young patients who were previously healthy and with no risk factors for coronary artery disease. The diagnostic tools and therapeutic approach are discussed based on a literature review. We conclude that the emergency physician should be alert for the possibility of AMI in victims of BTT, regardless of the intensity of the trauma.
Janella
Bruno Laurenti
BL
Hospital Mater Dei, Postgraduate Center, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil. brunojanella@terra.com.br
Pinto
Robério Júnior Damasceno
RJ
Pena
Henrique Patrus Mundim
HP
Carneiro
José Guilherme
JG
de Sousa
Marcos Roberto
MR
Andrade Júnior
Marcos Almeida Magalhães
MA
D000328:Adult; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*