CorrespondenceTrauma induced myocardial infarction
Introduction
Although blunt chest trauma is a common health problem, myocardial infarction (MI) secondary to coronary artery dissection in the setting of blunt chest trauma is extremely rare. We report a case of right coronary artery (RCA) dissection resulting in inferior wall MI following blunt chest trauma. The patient was successfully treated with primary percutaneous coronary angioplasty (PPCI).
Section snippets
Case presentation
A 32-year-old male with no relevant medical problems was transferred to the medical center for retrosternal chest pain after being elbowed in the chest. Patient was playing soccer when he took a blow from an opponent's elbow while dribbling the ball. Few seconds later, he started experiencing sharp retrosternal chest pain that radiated to the left arm and was associated with shortness of breath. Pain persisted upon his arrival to the emergency department and was not relieved by sublingual
Discussion
This case report describes a rare, yet catastrophic, complication of sport-associated blunt chest trauma. A young patient with no significant past medical history suffered a dissection of the RCA resulting in ST-elevation myocardial infarction after being hit in the chest with the opponent's elbow. While uncommon, blunt trauma accounts for a significant portion of cardiac events among athletes. In a registry that looked at athletes who died suddenly or survived cardiac arrest, blunt trauma with
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Cited by (6)
Myocardial Infarction in Young Athletes
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