Therapeutic Dilemma: Acute Myocardial Infarction in a Patient with Traumatic Hepatic and Mesenteric Injuries: A Case Report.

A A Pract

Division of Emergency General Surgery and Critical Care, Department of Surgery, Hartford Hospital, Hartford, Connecticut.

Published: April 2024

AI Article Synopsis

  • Trauma patients with solid abdominal organ or vascular injuries can complicate the diagnosis and treatment of ST-elevation myocardial infarction (STEMI).
  • There is limited evidence on how to manage these challenging cases, primarily relying on isolated case reports for guidance.
  • The article discusses a specific case of a patient who experienced acute STEMI after undergoing surgery for traumatic mesenteric and hepatic injuries.

Article Abstract

ST-elevation myocardial infarction (STEMI) in a trauma patient with solid abdominal organ or vascular injuries can present complex diagnostic and therapeutic challenges. Evidence for managing such demanding cases is scarce, and isolated case reports remain the source of information in treating these patients. We present a patient with traumatic mesenteric and hepatic injuries who developed acute STEMI in the immediate postoperative period.

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000001741DOI Listing

Publication Analysis

Top Keywords

myocardial infarction
8
patient traumatic
8
therapeutic dilemma
4
dilemma acute
4
acute myocardial
4
infarction patient
4
traumatic hepatic
4
hepatic mesenteric
4
mesenteric injuries
4
injuries case
4

Similar Publications

We report the case of a 78-year-old patient with acute ST-elevation myocardial infarction treated with primary percutaneous coronary intervention (PCI) of the right coronary artery, subsequently found to have a large subepicardial mass. The patient underwent a non-invasive multimodal diagnostic work-up including cardiac computed tomography and cardiac magnetic resonance imaging, which led to the diagnosis of subepicardial hematoma following coronary perforation during primary PCI. Due to clinical stability and absence of active bleeding sources, the patient was managed conservatively with gradual absorption of the mass and favorable prognostic outcome.

View Article and Find Full Text PDF

Primary cilia as antennas for oxygen.

Am J Physiol Cell Physiol

December 2024

Institute of Physiology, University Duisburg-Essen, Essen, Germany.

Over the last few decades, the primary cilium, an inconspicuous cell organelle, has increasingly become the focus of current research. The primary cilium is a microtubule-based, non-motile, antenna-like structure that is present on almost all mammalian cells. The ciliary membrane incorporates a large number of receptor molecules, which further characterize this cellular organelle.

View Article and Find Full Text PDF

Background: Loss of stromal interaction molecule 1 (STIM1) expression in smooth muscle cells protects against ischemia-reperfusion (I/R) injury. Whether and how decreased STIM1 expression in cardiomyocytes (CM) impacts cardiac remodeling in response to I/R injury remains unknown.

Objective: To examine mechanisms by which decreased CM-STIM1 expression in the adult heart modulates cardiac function before and after I/R injury.

View Article and Find Full Text PDF

This comprehensive analysis by Saeed and Faeq investigates the impact of primary percutaneous coronary intervention (pPCI) on mortality among patients with ST-segment elevation myocardial infarction (STEMI) at the Erbil Cardiac Center. Analyzing data from 96 consecutive STEMI patients, the study identified significant predictors of in-hospital mortality, emphasizing the critical impact of time of hospital arrival post-symptom onset on overall prognosis. Findings indicate that factors such as atypical presentation, cardiogenic shock, chronic kidney disease, and specific coronary complications are associated with higher mortality rates.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: