ID | 65753 |
JaLCDOI | |
FullText URL | |
Author |
Yamakawa, Yasuaki
Emergency and Critical Care Center, Kochi Health Sciences Center
Miyashita, Kohei
Emergency and Critical Care Center, Kochi Health Sciences Center
Morizane, Atsushi
Emergency and Critical Care Center, Kochi Health Sciences Center
Takeuchi, Masato
Department of Cardiology, Kochi Health Sciences Center
Kawashima, Yuta
Department of Radiology, Kochi Health Sciences Center
Sugimura, Tomoko
Emergency and Critical Care Center, Kochi Health Sciences Center
Saisaka, Yuichi
Emergency and Critical Care Center, Kochi Health Sciences Center
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Abstract | We report a case of a patient with severe pelvic fracture who showed concurrent ST elevation on electrocardiogram. A 70-year-old man incurred an unstable pelvic fracture from a motorcycle accident. On admission, he was hemodynamically unstable, and massive transfusion and noradrenaline were administered immediately. Although ST elevation was present in leads II, III, aVF, V5, and V6, cardiac function was preserved; thus, trans-arterial embolization and external fixation for pelvic fracture were given priority. Four days after the injury, he suffered a cardiac arrest, and coronary angiography revealed that the cause of ST elevation and cardiac arrest was coronary vasospasm. Physicians should be aware that pain-related stress and platelet activation as well as use of noradrenaline in severe trauma cases can induce coronary vasospasm.
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Keywords | coronary spasm angina
noradrenaline
severe trauma
ST elevation
treatment strategy
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2023-08
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Volume | volume77
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Issue | issue4
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Publisher | Okayama University Medical School
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Start Page | 423
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End Page | 427
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID | |
Web of Science KeyUT |