Thrombolysis of Acute ST-Segment Elevation Myocardial Infarction With Concurrent Polytrauma.

ABSTRACT:

Background

Trauma-related myocardial infarction (MI) is rare. In regional and rural settings, ST-segment elevation myocardial infarction (STEMI) may necessitate systemic thrombolysis despite concurrent relative contraindications.

Case summary

A 47-year-old woman experienced an anterior STEMI immediately following a motor vehicle accident in a regional area. Given definitive care was at least 3 hours away, multidisciplinary consultation was undertaken, and administration of systemic thrombolysis was recommended. Successful coronary reperfusion was achieved, but the patient developed internal iliac artery bleeding requiring embolization. Coronary angiography revealed a mild left anterior descending artery stenosis. Cardiac magnetic resonance imaging confirmed MI with evidence

SUBMITTER: Lim MY 

PROVIDER: S-EPMC12790234 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature