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Arq. Bras. Cardiol. · Dec 2006
Case ReportsAcute myocardial infarction related to blunt thoracic trauma.
- Bruno Laurenti Janella, Robério Júnior Damasceno Pinto, Henrique Patrus Mundim Pena, José Guilherme Carneiro, Marcos Roberto de Sousa, and Marcos Almeida Magalhães Andrade Júnior.
- Hospital Mater Dei, Postgraduate Center, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil. brunojanella@terra.com.br
- Arq. Bras. Cardiol. 2006 Dec 1; 87 (6): e239-42.
AbstractAcute myocardial infarction (AMI) is a rare, potentially fatal and often unrecognized complication of blunt thoracic trauma (BTT). Heart injury is diagnosed in less than 10% of all cases of blunt thoracic trauma. Medical literature is scarce in publications about AMI caused by BTT (AMI-BTT). There is no specific protocol on this issue. We describe two cases of AMI-BTT in young patients who were previously healthy and with no risk factors for coronary artery disease. The diagnostic tools and therapeutic approach are discussed based on a literature review. We conclude that the emergency physician should be alert for the possibility of AMI in victims of BTT, regardless of the intensity of the trauma.
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