1/3. Cerebral and coronary air embolism: an intradepartmental suicide attempt.Uncooperative but alert on arrival, a 21-year-old suicidal man was found suddenly unconscious with agonal respirations 2 h into his Emergency Department evaluation. Initially admitted for ingesting multiple pills and self-inflicting a deep wrist laceration, the patient now had a glasgow coma scale score of 3, a dense left-sided hemiplegia, and an electrocardiogram suggestive of acute myocardial infarction. This constellation of physical findings, together with an echocardiogram revealing bi-ventricular gas artifact, led to a diagnosis of coronary and cerebral air emboli. The patient was urgently resuscitated and then underwent hyperbaric oxygen therapy. Subsequent examination confirmed a full recovery. This article details this unprecedented case, as well as clinically relevant aspects of air embolism.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/3. Acute myocardial infarction due to thrombus formation in congenital coronary artery fistula.A young female patient developed acute myocardial infarction during physical exercise. Coronary arteriography in the acute phase demonstrated a coronary fistula originating from the left coronary main trunk and communicating with the right atrium. Several branches of the left coronary artery were obstructed by thrombotic material originating from the fistula, causing an acute myocardial infarction.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/3. Traumatic myocardial infarction during competitive volleyball: a case report.A previously asymptomatic physically active 41-yr-old Caucasian male was hit in the chest by a spiked volleyball. Following the impact of the ball he developed substernal chest pain, which persisted during and after the game. Despite the administration of thrombolytic therapy, he suffered an extensive anteroapical myocardial infarction; subsequent cardiac catheterization revealed the presence of a 70% occlusion in his mid left anterior descending coronary artery. We hypothesize that this patient sustained a traumatic coronary artery thrombosis resulting in acute myocardial infarction. The presence of underlying coronary artery disease may predispose an individual to traumatic myocardial infarction.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |