Prevention of acute myocardial infarction following blunt chest trauma

摘要

Acute myocardial infarction (AMI) following blunt chest trauma (BCT) is a life-threatening complication of blunt chest trauma, the incidence of this disease will increase with the growth of the population mobility. How to prevent and decrease the occurrence of this special myocardial infarction appropriately are not clear due to its infrequent occurrence and lack of prospective randomized studies and relevant guideline. There may be different etiologies and pathogenesis and preventive in this special myocardial infarction compared to general myocardial infarction. 122 cases of acute myocardial infarction following blunt chest trauma were reviewed to provide helps for the prevention of it. By searching Medline (from 1990 to 2012) for the terms "myocardial infarction and blunt trauma", "coronary and blunt trauma", and "myocardial ischemia and blunt trauma", we searched out 116 English full articles on myocardial infarction resulting from blunt trauma, involving a total of 122 patients.