Electrocardiographic ST-segment elevation in the trauma patient: acute myocardial infarction vs myocardial contusion

Precordial Steering Wheel: A Fortunate Accident

“…Although there are case reports of trauma patients presenting with either blunt cardiac trauma or coronary artery injury, if our hypothesis is correct, this represents the first reported case of VF from STEMI as the cause of an MVC (1)(2)(3)(4).…”

“…The diagnosis of myocardial blunt force injury is difficult, especially because the electrocardiographic pattern can mimic ST-segment elevation myocardial infarction (STEMI) (2,5,6). We were unable to find reported cases of STEMI leading to ventricular arhythmia and subsequent MVC.…”

“…Myocardial injury and coronary artery dissection after blunt chest trauma, including motor vehicle collisions (MVCs), has been reported in the literature (1)(2)(3)(4). The diagnosis of myocardial blunt force injury is difficult, especially because the electrocardiographic pattern can mimic ST-segment elevation myocardial infarction (STEMI) (2,5,6).…”

Cardiac contusion: Ending myocardial confusion in this capricious syndrome

“…It may arise as a result of direct myocardial damage or as a result of mismatch between myocardial oxygen supply and consumption [9]. ECG findings included non specific ST-segment-T-wave changes, ST segment elevation and depression, T-wave abnormalities, right bundle branch block and atrioventricular blocks, tachycardia including nodal tachycardia, atrial fibrillation and flutter, ventricular tachycardia and ventricular fibrillation, [10] whereas Q-waves are rarely observed [11].…”

Cardiac Contusion: Unsolved Problems of Theory and Practice

“…В случае фор мирования обширной зоны некроза могут регистрироваться глубокие деформированные зубцы Q или QS [31,32]. Более ха рактерным для ушиба сердца нарушением функции автоматиз ма считается синусовая тахикардия, менее характерным -сину О б з о р ы совая брадикардия [27,29,33].…”