TRAUMA INDUCED MYOCARDIAL INFARCTION: A CLINICAL CASE
Traumatic injury of the coronary arteries with the development of myocardial infarction is often caused by arterial dissection, while about 10% of patients may have atherothrombosis. At the same time, coronary atherosclerosis can act as one of the triggering factors.
Patient A, 52 years old, was urgently admitted to the Emergency Hospital after a road traffic accident (RTA). Based on the given clinical data, an acute coronary syndrome is suspected, its traumatic genesis was not excluded. However, the usual patient management strategy in this case was not applicable because of blunt abdominal trauma with internal bleeding. A hybrid operation was decided, the first stage of which included coronary angiography, followed by selective angiography of the celiac trunk to determine further tactics.
As a result of the hybrid intervention and medication therapy, the patient was discharged on the 8th day in a satisfactory condition.
Andrey Yu. Orekhov1,2, Lola M. Bakayeva2, Аibol R. Maralbayev2,
Galiya A. Alibaeva2, Aisulu Zh. Zhunuspekova1,2, Jamilya A. Mansurova1
1 NCJSC “Semey Medical University”, Department of therapy, Semey c., Republic of Kazakhstan;
2 Semey city Emergency Hospital, Semey c., Republic of Kazakhstan.
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Bibliography link
Orekhov A.Yu., Bakayeva L.M., Maralbayev А.R., Alibaeva G.A., Zhunuspekova A.Zh., Mansurova J.A. Trauma Induced Myocardial Infarction: a clinical case // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 288-292. doi 10.34689/SH.2023.25.2.037Related publications:
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