title: [Heart and trauma: two representative cases of chest pain after high energy impact].
abstract: Patients complaining of chest pain after a traumatic event represent a diagnostic challenge for the cardiologist. These patients can definitely escape from common diagnostic tests (particularly ECG and markers of myocardial lysis) that may guide the cardiologist, mostly because symptoms are attributed to the trauma itself. On the other hand, if blunt cardiac injury is suspected (involving coronary arteries, aorta, pulmonary trunk, pericardium, myocardium or valves), the selection of the most appropriate diagnostic and therapeutic tools (i.e. antithrombotic therapy) should also consider trauma involvement of other organs. We here describe two emblematic cases as examples of the challenges that diagnosis and treatment of cardiac injury can bring.
authors.affiliation: Cardiologia Invasiva, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Damiano
authors.initials: D
authors.lastname: Regazzoli
authors.affiliation: Cardiologia e UTIC, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Francesco
authors.initials: F
authors.lastname: Ancona
authors.affiliation: Cardiologia e UTIC, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Letizia
authors.initials: L
authors.lastname: Bertoldi
authors.affiliation: Cardiologia e UTIC, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Massimo
authors.initials: M
authors.lastname: Slavich
authors.affiliation: Cardiologia Invasiva, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Antonio
authors.initials: A
authors.lastname: Mangieri
authors.affiliation: Centro Prevenzione Cardiovascolare, Ospedale San Raffaele, Milano.
authors.forename: Pietro
authors.initials: P
authors.lastname: Spagnolo
authors.affiliation: Cardiologia Invasiva, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Matteo
authors.initials: M
authors.lastname: Montorfano
authors.affiliation: Cardiologia e UTIC, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pizzetti
authors.affiliation: Cardiologia Invasiva, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Antonio
authors.initials: A
authors.lastname: Colombo
authors.affiliation: Cardiologia e UTIC, Dipartimento Cardio-Toraco-Vascolare, Ospedale San Raffaele, Milano.
authors.forename: Alberto
authors.initials: A
authors.lastname: Margonato
mesh_terms: D000328:Adult; D000368:Aged; D002637:Chest Pain / Q000209:etiology*; D004562:Electrocardiography; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D005343:Fibrinolytic Agents