Evidence map›Paper›PMID 29138662›Full record

ArticleThe Pan African medical journal2017

ST-segment elevation after blunt chest trauma: myocardial contusion with normal coronary arteries or myocardial infarction following coronary lesions.

Amine Ghalem, Hanane Boussir, Kamal Ahsayan, Nabila Ismaili, Noha El Ouafi

Abstract readCase Reports
In one paragraph

Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Traumatic blunt cardiac injuries: An updated narrative review.International journal of critical illness and injury science
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amine GhalemDepartment of Cardiology, Mohammed VI University Hospital, 60049 Oujda, Morocco.
Hanane BoussirDepartment of Cardiology, Mohammed VI University Hospital, 60049 Oujda, Morocco.
Kamal AhsayanDepartment of Anesthesia and Intensive Care, Mohammed VI University Hospital, 60049 Oujda, Morocco.
Nabila IsmailiDepartment of Cardiology, Mohammed VI University Hospital, 60049 Oujda, Morocco.
Noha El OuafiDepartment of Cardiology, Mohammed VI University Hospital, 60049 Oujda, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac lesions secondary to blunt chest trauma vary from insignificant arrhythmias to fatal cardiac rupture. Of these, a distinction remains difficult; face to ST-segment elevation on ECG with positive cardiac biomarkers, is it a myocardial contusion or a genuine myocardial infarction (MI) secondary to coronary lesions? We report the case of a patient admitted for multiple trauma. Initial assessment showed an ST segment elevation on ECG, along with multiple fractures and abdominal injuries. We would like to discuss, through this case, the similarities and the differences between myocardial infarction due to coronary lesions and myocardial contusion in a traumatic context, but also emphasize the difficulty of striking the right balance between thrombotic and bleeding risks in this situation, and insist on the importance of a multidisciplinary and collegial reflexion so we can offer these patients the best care there is.

Indexed as

Coronary VesselsElectrocardiographyHumansInterdisciplinary CommunicationMaleMiddle AgedMyocardial ContusionsST Elevation Myocardial InfarctionThoracic InjuriesWounds, NonpenetratingBlunt chest traumacoronary angiographymyocardial contusionmyocardial infarction

Identifiers

PMID29138662
PMCPMC5681017

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.