January 21, 2013
View Full PaperTraumatic Coronary Artery Dissection
Key Result
A 33-year-old male soccer player developed traumatic coronary artery dissection and inferoposterior ischemia after sustaining a blunt blow to the chest.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A 33-year-old male soccer player presenting with inferoposterior ischemia following blunt chest trauma.
E
Exposure
Aspirin and clopidogrel loading
Blunt chest trauma during sports can lead to traumatic coronary artery dissection and acute myocardial ischemia.
Abstract
A 33-year-old male soccer player started to experience chest discomfort briefly after taking a blow from an opponent's knee into his chest during a dribbling maneuver on the pitch.He completed the game but then consulted a referring hospital because of waxing and waning chest complaints irradiating to his left arm.The ECG demonstrated ST-T-segment changes compatible with inferoposterior ischemia (Figure 1).Cardiac enzyme markers were elevated.Echocardiography confirmed inferior wall hypokinesis.The patient was loaded with aspirin and clopidogrel.He
Cite This Study
Mieghem et al. (Mon,) conducted a case report in Traumatic Coronary Artery Dissection (n=1). Blunt chest trauma was evaluated. A 33-year-old male soccer player developed traumatic coronary artery dissection and inferoposterior ischemia after sustaining a blunt blow to the chest.