International Journal of Medicine Research

International Journal of Medicine Research


International Journal of Medicine Research
International Journal of Medicine Research
Vol. 2, Issue 5 (2017)

Acute ST elevation myocardial infarction due to cricket ball injury


Dr. Sonal Tanwar, Dr. Naresh Sen, Dr. Ashok Jain

A 31-year-old previously healthy man presented to the Emergency Department due to Cricket Ball Injury. Cricket Ball Injury to the chest resulting in coronary thrombosis and ST elevation myocardial infarction (STEMI) is a rare case. An ECG revealed sinus tachyycardia at 112 beats/min with ST segment elevation in leads V1 to V4 and ST segment depressions in leads II, III, aVF and V6. An echocardiogram demonstrated severe hypokinesis of the mid and distal anteroseptal segments and the apex, with an estimated left ventricular ejection fraction of 47%. Angiography in such cases has generally disclosed complete epicardial coronary occlusion with thrombus, indistinguishable from the findings commonly found in spontaneous plaque rupture due to atherosclerotic disease. Coronary angiography via the right radial artery disclosed a total occlusion of the left anterior descending artery 2.5 mm from its origin. The treatment approach to STEMI following blunt chest trauma is immediate coronary angiography and revascularization with percutaneous intervention and continuation of dual antiplatelet therapy. Ongoing pain represents myocardial ischemia should be considered, and a screening ECG should be considered to identify rare cases of STEMI.
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How to cite this article:
Dr. Sonal Tanwar, Dr. Naresh Sen, Dr. Ashok Jain. Acute ST elevation myocardial infarction due to cricket ball injury. International Journal of Medicine Research, Volume 2, Issue 5, 2017, Pages 13-16
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