1.
Am J Med
; 126(12): 1050-3, 2013 Dec.
Article
in English
| MEDLINE
| ID: mdl-24119821
Subject(s)
Heart Block/classification , Aged , Antacids/administration & dosage , Antacids/therapeutic use , Belladonna Alkaloids/administration & dosage , Belladonna Alkaloids/therapeutic use , Chest Pain/diagnosis , Drug Combinations , Dyspepsia/diagnosis , Dyspepsia/drug therapy , Dyspepsia/pathology , Electrocardiography , Heart Block/diagnosis , Humans , Lidocaine/administration & dosage , Lidocaine/therapeutic use , Male , Phenobarbital/administration & dosage , Phenobarbital/therapeutic use , Proton Pump Inhibitors/therapeutic use
2.
West J Emerg Med
; 12(2): 224-6, 2011 May.
Article
in English
| MEDLINE
| ID: mdl-21691532
ABSTRACT
Penetrating trauma is a rare cause of myocardial infarction. Our report describes a 47-year-old female who presented with a gunshot wound from a shotgun and had an ST-elevation myocardial infarction. The patient received emergent coronary angiography, which demonstrated no evidence of coronary atherosclerotic disease but did show occlusion of a marginal vessel secondary to a pellet. The patient was managed medically for the myocardial infarction without cardiac sequelae. Patients with penetrating trauma to the chest should be evaluated for myocardial ischemia. Electrocardiography, echocardiography and cardiac angiography play vital roles in evaluating these patients and helping to guide management.