Nasser Keaton, Matsuura Jaclyn, Diep Jimmy
University of Nevada Las Vegas, Department of Cardiology, Las Vegas, Nevada.
University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada.
Clin Pract Cases Emerg Med. 2021 Feb;5(1):85-88. doi: 10.5811/cpcem.2020.12.49875.
Blunt chest trauma and motor vehicle collisions are common presentations to the emergency department (ED). Chest pain in a trauma patient can usually and reasonably be attributed to chest wall injury, leading to a potential delay in diagnosis and treatment.
In this case report, we present a 52-year-old male who was brought to the ED with complaints of chest pain and pressure after a motor vehicle collision. He was subsequently found to have both a displaced sternal fracture and simultaneous acute myocardial infarction with 100% occlusion of the mid left anterior descending artery without dissection requiring stent placement.
Chest pain after blunt cardiac trauma is a common complaint. While rare, acute myocardial infarction must be considered. Most injuries result as direct trauma to the artery causing either dissection or acute thrombosis resulting in a myocardial infarction as opposed to acute plaque rupture with thrombosis, as seen in this case.
钝性胸部创伤和机动车碰撞是急诊科常见的就诊情况。创伤患者的胸痛通常可合理归因于胸壁损伤，这可能导致诊断和治疗的延迟。
在本病例报告中，我们介绍了一名52岁男性，他在机动车碰撞后因胸痛和胸部压迫感被送往急诊科。随后发现他既有移位的胸骨骨折，又同时患有急性心肌梗死，左前降支中段100%闭塞，无夹层，需要置入支架。
钝性心脏创伤后的胸痛是常见主诉。虽然罕见，但必须考虑急性心肌梗死。大多数损伤是由于动脉直接创伤导致夹层或急性血栓形成，进而引起心肌梗死，与本例中所见的急性斑块破裂伴血栓形成不同。
