Coronary artery dissection after blunt trauma without abnormal electrocardiogram findings

Upon admission, he was alert and had stable vital signs, except that his oxygen saturation was 90% despite receiving 100% oxygen, and he did not demonstrate laterality of blood pressure. There are no guidelines to assist the identification of patients at risk. [...]physicians should consider coronar...

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Bibliographic Details
Published inThe American journal of emergency medicine Vol. 32; no. 9; pp. 1157.e5 - 1157.e6
Main Authors Kawakami, Yutaka, MD, Inokuchi, Ryota, MD, Tanji, Masahiro, MD, PhD, Ito, Fumihito, MD, Kumada, Yoshibumi, MD, PhD, Matsuse, Shinji, MD, PhD, Yahagi, Naoki, MD, PhD, Shinohara, Kazuaki, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2014
Elsevier Limited
Subjects
Adult
Blood pressure
Cardiology
Coronary vessels
Coronary Vessels - diagnostic imaging
Coronary Vessels - injuries
Coronary Vessels - surgery
Dissection
Electrocardiography
Emergency
Emergency medical care
Humans
Male
Patients
Physicians
Surgery
Tomography, X-Ray Computed
Trauma
Veins & arteries
Wounds, Nonpenetrating - complications
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Summary:Upon admission, he was alert and had stable vital signs, except that his oxygen saturation was 90% despite receiving 100% oxygen, and he did not demonstrate laterality of blood pressure. There are no guidelines to assist the identification of patients at risk. [...]physicians should consider coronary artery dissection after a blunt trauma, even if the patient has normal ECG findings and chest radiographs and does not display blood pressure laterality.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2014.02.046