Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
ISSN: 2155-9880
Amreeta Sharma and Tariq S Marroush
St. John Hospital and Medical Center, USA
Posters-Accepted Abstracts: J Clin Exp Cardiolog
A 44 year old Caucasian male presented with sub sternal chest pain that began minutes after suffering a fall on the chest during a hockey game. The patient initially thought the pain was a result of the fall itself and proceeded to rest for a few minutes. He quickly realized that his condition was not improving, but was in fact worsening. The patient has a history of hypertension controlled with 50 mg daily of Lisinopril and hyperlipidemia medicated with Fenofibrate 200 mg daily. His family history is significant for CAD as his brother and grandfather died at 42 and 50 years of age, respectively, as a result of an myocardial infarction. When his pain became unbearable, the patient drove himself to an urgent care center where a 12-lead EKG showed a STEMI on inferior leads, he was transferred to our hospital where an emergent coronary angiogram showed a hyperdominant right circulation with a fresh clot completely obstructing mid RCA, for which throbectomy trials have failed. He was immediately transferred to the OR where an emergent CABG was done; the thrombus was removed, and a dissection was visualized. Following the procedure, he was admitted to the coronary care unit for observation. The patient��?s hospital course was complicated by right ventricular failure (EF=40%), atrial fibrillation and hypotension. Eventually, the patient was stabilized and discharged on post-operative day 11. Trauma induced myocardial infarction is a rare clinical entity. Both diagnosis and management is delayed in many instances, contributing to suboptimal outcomes in many cases. Every effort should be made to avoid such delays, and this condition should be kept in mind,even in the light of polytrauma.