Citation

Briosa E Gala A, Dimarco A, Battinson S, Abbas A, Rawlins J, Mahmoudi M. Postgrad. Med. J. 2019; ePub(ePub): ePub.

Affiliation

Departmemt of Cardiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Copyright

(Copyright © 2019, BMJ Publishing Group)

DOI

10.1136/postgradmedj-2019-137308

PMID

31871248

Abstract

A 48-year-old man was admitted as a Level 1 trauma after attempting suicide by jumping 28 m into a river. He was haemodynamically stable with unremarkable physical examination except for bilateral periorbital bruising. Trauma-protocol CT demonstrated an isolated T5 vertebral fracture.

Despite being pain free, serial ECGs showed dynamic anterior ST-elevation. Review of the trauma CT identified a subtle perfusion defect in the left anterior descending artery (LAD) territory in keeping with a recent infarct, but motion artefact made assessment of the aortic root challenging. In view these findings, …

Language: en

Keywords

accident & emergency medicine; cardiovascular imaging; computed tomography; myocardial infarction