title: [Myocardial infarction as cause of an accident. The role of multislice CT in polytrauma management, differential diagnosis and insurance aspects].
abstract: We present for the first time the use of contrast-enhanced multislice computed tomography in trauma care to detect acute myocardial infarction and verify it as the cause of a traffic accident. In addition to the case report, cardiac contusion, coronary dissection, and facets of insurance law are discussed. The determination of acute myocardial infarction, cardiac contusion, and coronary dissection can be challenging, but answers can be found in the medical history and accident details. The trauma surgeon in the emergency department must always be interested in clarifying the cause of trauma and keeping a secondary diagnosis in mind to strive for the goal of optimal and complete polytrauma care.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, Campus Virchow Klinikum, Charité Universitätsmedizin, Augustenburger Platz 1, 13353, Berlin, Deutschland. christian.kleber@charite.de
authors.forename: C
authors.initials: C
authors.lastname: Kleber
authors.forename: B
authors.initials: B
authors.lastname: Oswald
authors.forename: H J
authors.initials: HJ
authors.lastname: Bail
authors.forename: N P
authors.initials: NP
authors.lastname: Haas
authors.forename: F
authors.initials: F
authors.lastname: Kandziora
mesh_terms: D000063:Accidents, Traffic / Q000331:legislation & jurisprudence*; D015906:Angioplasty, Balloon, Coronary; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging*; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging*; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology; D015607:Stents; D036542:Tomography, Spiral Computed