Gunshot injury of the heart - An unusual cause of acute myocardial infarction

被引：0
|
作者：
Bali, HK [1 ]
Vijayvergiya, R [1 ]
Banarjee, S [1 ]
Kumar, N [1 ]
机构：
[1] Postgrad Inst Med Educ & Res, Dept Cardiol, Chandigarh 160012, India
来源：
TEXAS HEART INSTITUTE JOURNAL | 2003年 / 30卷 / 02期
关键词：
coronary vessels/injuries; foreign bodies/diagnosis; heart injuries/diagnosis; myocardial infarction; etiology; wounds; gunshot/complications; penetrating/diagnosis;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 30-year-old man had multiple pellet injuries after being shot. An asymptomatic, acute, inferior-wall myocardial infarction was detected on an electrocardiogram at the time of a pre-anesthetic evaluation for eye surgery. A computed tomographic scan of the chest confirmed the presence of an intracardiac foreign body. Coronary angiography showed occlusion of the distal right coronary artery by a pellet. The patient was managed conservatively with aspirin and metoprolol. In conclusion, a single coronary lesion, the absence of other cardiac complications, and a favorable outcome with conservative medical treatment after a gunshot injury contribute to the rarity of this case of myocardial infarction.
引用
收藏
页码：158 / 160
页数：3
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