Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma

A 19 year old man was admitted to emergency department (ED) because of motorcycle to motorcycle accident. In ED he was evaluated as a multiple trauma patient and after overnight observation, was discharged with stable vital signs (VS) next morning. Twenty four hours later, he developed chest pain an...

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Main Authors: Marzieh Nikparvar, Sayed Mohammadbagher Asghari, Hossein Farshidi
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2019-08-01
Series:Journal of Cardiovascular and Thoracic Research
Subjects:
Online Access:https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-11-251.pdf
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author Marzieh Nikparvar
Sayed Mohammadbagher Asghari
Hossein Farshidi
author_facet Marzieh Nikparvar
Sayed Mohammadbagher Asghari
Hossein Farshidi
author_sort Marzieh Nikparvar
collection DOAJ
description A 19 year old man was admitted to emergency department (ED) because of motorcycle to motorcycle accident. In ED he was evaluated as a multiple trauma patient and after overnight observation, was discharged with stable vital signs (VS) next morning. Twenty four hours later, he developed chest pain and dyspnea, and was admitted to ED for the second time. This time he was evaluated as a chest trauma patient and chest X ray and CT scanning were performed. According to cardiology consult, an electrocardiogram was recorded and extensive anterolateral ST elevation myocardial infarction (STEMI) was confirmed. Coronary angiography revealed total thrombotic occlusion of left anterior descending artery (LAD) from ostium. Percutaneous coronary intervention (PCI) was performed and LAD stented successfully. After 10 days of ICU admission, he was discharged with an ejection fraction (EF) of 35%.
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spelling doaj.art-6fb35b7910034486bd01ef2270d1e9da2022-12-21T21:59:02ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302019-08-0111325125310.15171/jcvtr.2019.42jcvtr-21354Delayed diagnosis of myocardial infarction in a young man with a blunt chest traumaMarzieh Nikparvar0Sayed Mohammadbagher Asghari1Hossein Farshidi2Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IranShaheed Mohammadi Educational Hospital, Bandar Abbas, IranCardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, IranA 19 year old man was admitted to emergency department (ED) because of motorcycle to motorcycle accident. In ED he was evaluated as a multiple trauma patient and after overnight observation, was discharged with stable vital signs (VS) next morning. Twenty four hours later, he developed chest pain and dyspnea, and was admitted to ED for the second time. This time he was evaluated as a chest trauma patient and chest X ray and CT scanning were performed. According to cardiology consult, an electrocardiogram was recorded and extensive anterolateral ST elevation myocardial infarction (STEMI) was confirmed. Coronary angiography revealed total thrombotic occlusion of left anterior descending artery (LAD) from ostium. Percutaneous coronary intervention (PCI) was performed and LAD stented successfully. After 10 days of ICU admission, he was discharged with an ejection fraction (EF) of 35%.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-11-251.pdfmyocardial infarctionblunt chest traumapercutaneous coronary intervention
spellingShingle Marzieh Nikparvar
Sayed Mohammadbagher Asghari
Hossein Farshidi
Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
Journal of Cardiovascular and Thoracic Research
myocardial infarction
blunt chest trauma
percutaneous coronary intervention
title Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
title_full Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
title_fullStr Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
title_full_unstemmed Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
title_short Delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
title_sort delayed diagnosis of myocardial infarction in a young man with a blunt chest trauma
topic myocardial infarction
blunt chest trauma
percutaneous coronary intervention
url https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-11-251.pdf
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