Acute myocardial infarction and congestive heart failure following a blunt chest trauma

Tiemin Wei, Lexin Wang, Liping Chen, Chunming Wang, Chunlai Zeng

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

A 42-year-old man experienced chest discomfort after being struck by a low-speed flying object. Two weeks after the accident, the patient complained of severe shortness of breath accompanied by ankle edema. Chest X-ray indicated acute pulmonary edema and left ventricular enlargement. There were Q waves and flat T waves in the precordial ECG leads. Echocardiography revealed dyskinesis in the interventricular septum, hypokinesis in the anterior left ventricular wall, and severe impairment of left ventricular function. A coronary angiogram showed 90% stenosis of the proximal left descending coronary artery. Subsequent medical therapy with diuretics and enalapril led to significant improvement in ventricular function and the patient's symptoms. We conclude that a mild blunt chest trauma can cause myocardial infarction and severe congestive heart failure. Careful investigations into myocardial ischemia or infarction and a close follow-up should be conducted in all patients presenting with a blunt chest trauma.
Original languageEnglish
Pages (from-to)77-79
Number of pages3
JournalHeart and Vessels
Volume17
Issue number2
DOIs
Publication statusPublished - 2002

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