title: Severe limb pain suppresses chest pain in a patient with anterior myocardial infarction.
abstract: Cardiac complications of chest trauma range from arrhythmias and valvular avulsions to myocardial contusion, rupture, and--rarely--myocardial infarction. Herein, we described a 44-year-old male patient who presented to the hospital after receiving a blow from a fist directly to the chest and fingertip amputation during a fight; anterior myocardial infarction without any chest pain was coincidentally detected. Our case illustrates the importance of electrocardiography in the initial evaluation of patients with chest trauma and suspected injury to the coronary arteries.
authors.affiliation: Faculty of Medicine, Department of Cardiology, Hacettepe University, 06100, Ankara, Sıhhıye, Turkey. dru_canpolat@yahoo.com
authors.forename: U
authors.initials: U
authors.lastname: Canpolat
authors.forename: E B
authors.initials: EB
authors.lastname: Kaya
authors.forename: K
authors.initials: K
authors.lastname: Aytemir
authors.forename: G
authors.initials: G
authors.lastname: Kabakçı
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000150:complications* / Q000175:diagnosis; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D010591:Phantom Limb / Q000175:diagnosis / Q000209:etiology*; D013315:Stress, Psychological / Q000175:diagnosis / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis