Abstract 285: Acute Myocardial Infarction Following Free-Fall Trauma in a 21-Year-Old Male Patient
A 21-year-old man who was sleeping was fallen from the higher deck of a double-deck bed. 10 minutes after free fall, he experienced chest pain and then took a nonsteroidal antiinflammatory medication, however, which did not relieve the pain. The pain continued to increase, and prompting him to seek medical attention. 6 hours after the trauma, he was admitted to the emergency room of our hospital. Although the accident just caused mild subcutaneous hemorrhage, he felt severe chest pain, headache and left hand pain. He has 4 year's history of cigarette smoking, no history of diabetes mellitus, hypertension, hyperlipidemia coronary artery disease. On admission, physical examination showed blood pressure of 120/80 mm Hg and regular pulse at 100 beat per minute. X ray revealed no bone fracture around the chest. Cardiac examination showed regular heart rhythm without murmurs and pericardial rubs. Electrocardiogram (ECG) performed on admission demonstrated Q wave and 1mm ST segment elevation in leads V1 to V5. Laboratory test results are as follows: serum creatine phosphokinase MB 89.8 U/L, Troponin I 120 ng/ml. Due to the persistent injury pattern on the ECG, the patient underwent emergency cardiac catheterization following the administration of aspirin, Clopidogrel and Atorvastatin etc. CAG showed an acute thrombus induced 99% occlusion in Left Anterior Descending artery and no serious atherosclerotic disease was seen in the remaining coronary arteries. Then, the thrombus has been taken out with a Thrombus Aspiration Catheter. Afterwards, CAG showed the occlusion has been relieved and considering his age, we didn’t implant any artificial stent in the left anterior descending artery. After procedure, the patient felt good and discharged
- © 2011 by American Heart Association, Inc.