@article{ref1,
title="A case of acute myocardial infarction after blunt chest trauma in a young man",
journal="Journal of Korean medical science",
year="2003",
author="Park, Woo Seok and Jeong, Myung Ho and Hong, Young Joon and Park, Ok Young and Kim, Joo-Heon and Kim, Wonchul and Ahn, Young Keun and Cho, Jeong Gwan and Park, Jong Chun and Ahn, Byoung Hee and Kim, Sung H. and Kang, Jung Chae",
volume="18",
number="6",
pages="889-893",
abstract="Coronary artery injury rarely occurs after blunt chest trauma, but it can lead to extensive myocardial infarction and be frequently overlooked. A 16-yr-old man was presented with comatose mental state and rapid respiration rate. He ran into guard rail while riding a motorcycle. In routine examination, his electrocardiogram showed Q wave and 2 mm ST segment elevation in all precordial leads, I and aVL. The cardiac enzymes were also elevated: creatine kinase (CK)-MB was 300 U/L, and cardiac specific troponin I was 5.7 ng/mL. Two-dimensional echocardiography showed anteroseptal akinesia with severely depressed left ventricular function, ejection fraction of 28%. He could not receive any anticoagulation or thrombolytic therapy because of his brain lesion. Three weeks later, his mental state improved. A diagnostic coronary angiogram revealed total occlusion in the proximal left anterior descending artery (LAD) with collaterals from the right coronary artery and left circumflex artery. We successfully performed a percutaneous coronary intervention for the LAD lesion, and the final angiogram showed a good coronary flow without residual stenosis.<p /> <p>Language: en</p>",
language="en",
issn="1011-8934",
doi="",
url="http://dx.doi.org/"
}