Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
ISSN: 2155-9880
Tariq S Marroush
St. John Hospital and Medical Center, USA
Posters-Accepted Abstracts: J Clin Exp Cardiolog
A 44 year-old male presented with substernal chest pain a few minutes after falling on his chest while playing hockey. He thought that his pain was due to the fall so he stopped playing. The pain only worsened. The patient has a history of hypertension controlled with 50 mg daily of lisinopril and hyperlipidemia treated with fenofibrate 200 mg daily. His family history is significant for coronary artery diseases in his brother and his grandfather who died at 42 and 50 years of age, respectively, due to myocardial infarction. When his pain became unbearable, the patient drove himself to an urgent care where a 12-lead EKG showed a STEMI on inferior leads. The patient was transferred to our hospital where an emergent coronary angiogram showed a hyperdominant right circulation with a fresh clot completely obstructing the mid RCA, for which throbectomy trials have failed. The patient then underwent an emergent CABG with thrombus removal and a dissection was noted. The patient was admitted to the coronary care unite for observation, his hospital course was complicated by right ventricular failure (EF=40%), atrial fibrillation and hypotension. He was stabilized and discharged on post operative day 11. Trauma induced myocardial infarction is a rare clinical entity. The diagnosis and management is oftern delayed, therefore, outcomes are suboptimal. Every effort should be made to avoid such a delay, and this condition should be kept in mind, even in the light of polytrauma.
Email: tariqmarroush@hotmail.com