scholarly journals ST-segment elevation after blunt chest trauma: myocardial contusion with normal coronary arteries or myocardial infarction following coronary lesions

2017 ◽  
Vol 28 ◽  
Author(s):  
Amine Ghalem ◽  
Hanane Boussir ◽  
Kamal Ahsayan ◽  
Nabila Ismaili ◽  
Noha El Ouafi
Keyword(s):  
Myocardial Infarction ◽  
Coronary Arteries ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Myocardial Contusion ◽  
Normal Coronary Arteries ◽  
St Segment Elevation ◽  
St Segment ◽  
Coronary Lesions

scholarly journals ST-Segment Elevation Myocardial Infarction with Normal Coronary Arteries Angiography

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Morteza Motedayen ◽  
Hamid Khederlou
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Artery Dissection ◽  
Beta Blockade ◽  
Normal Coronary Arteries ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Epicardial Coronary Artery ◽  
St Segment

: Myocardial infarction (MI) is the most frequent cause of ischemic heart death. MI is generally assumed to be due to arterial thrombosis superimposed on an atherosclerotic plaque in an epicardial coronary artery. Total occlusion of an epicardial coronary artery leads to ST elevation, while non-occlusive lesion leads to ST depression. We hereby have reported a case of ST-segment elevation myocardial infarction with normal coronary arteries angiography. A 35-year-old man presented with typical chest pain, nausea, vomiting and cold sweating. ECG obtained at admission and 30 minutes later revealed sinus tachycardia with ST-segment elevations (> 2 mm) in leads V2-V5. Cardiac biomarkers including creatine phosphokinase (CPK), creatine kinase muscle-brain (CK.MB) and troponin high sensitive were elevated. The standard treatment for MI including pain relief, aspirin, thrombolysis if indicated and beta blockade were begun for the patient. STEMI was confirmed and thus, angiography was performed. Coronary angiography revealed normal coronary arteries without any angiographic evidence of stenosis, coronary artery dissection, embolism, plaque rupture or vasospasm.

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