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种族与时间:钝性胸部创伤后急性心肌梗死和室性心动过速的一个关键病例。

Race-over time: a critical case of acute myocardial infarction and ventricular tachycardia following blunt chest trauma.

作者信息

Lin Kun, Qin Chao, He Tao

机构信息

Department of Electrocardiogram Diagnosis, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, 530021, P. R. China.

出版信息

J Cardiothorac Surg. 2025 May 30;20(1):251. doi: 10.1186/s13019-025-03470-2.

DOI:10.1186/s13019-025-03470-2
PMID:40448209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12124091/
Abstract

INTRODUCTION

Blunt chest trauma resulting in cardiac injury is a significant cause of mortality in trauma patients. Among the most critical sequelae, acute myocardial infarction (AMI) and ventricular tachycardia (VT) require prompt medical attention because of their potentially life-threatening nature. This case report examines the clinical progression and therapeutic approach in a patient who presented with these severe cardiac complications.

CASE PRESENTATION

A 42-year-old male was admitted with significant sternal pain, acute respiratory compromise, and substantial hemorrhage from cranial and facial injuries following a traumatic event. Initial clinical evaluation revealed elevated cardiac biomarkers and electrocardiographic abnormalities, resulting in the diagnosis of acute myocardial infarction (AMI) complicated by ventricular tachycardia (VT).

CONCLUSION

This investigation underscores the paramount importance of expeditious diagnosis and intervention for acute myocardial infarction (AMI) and ventricular tachycardia (VT) in patients with blunt chest trauma. These findings demonstrate that even with comprehensive therapeutic intervention, severe cardiac complications may result in adverse outcomes.

摘要

引言

钝性胸部创伤导致心脏损伤是创伤患者死亡的重要原因。在最严重的后遗症中,急性心肌梗死(AMI)和室性心动过速(VT)因其潜在的危及生命的性质而需要及时的医疗关注。本病例报告探讨了一名出现这些严重心脏并发症患者的临床病程和治疗方法。

病例介绍

一名42岁男性因创伤事件后出现严重胸痛、急性呼吸功能不全以及颅脑和面部损伤大量出血入院。初步临床评估显示心脏生物标志物升高和心电图异常,诊断为急性心肌梗死(AMI)合并室性心动过速(VT)。

结论

本研究强调了对钝性胸部创伤患者的急性心肌梗死(AMI)和室性心动过速(VT)进行快速诊断和干预的至关重要性。这些发现表明,即使进行全面的治疗干预,严重的心脏并发症仍可能导致不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/45afa5a9b4ed/13019_2025_3470_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/cce2257ce8c1/13019_2025_3470_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/8db18db16538/13019_2025_3470_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/45afa5a9b4ed/13019_2025_3470_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/cce2257ce8c1/13019_2025_3470_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/afb2beaf138b/13019_2025_3470_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ff/12124091/e7f0c5eeddbd/13019_2025_3470_Fig3_HTML.jpg
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