A case of acute @entity583 after blunt @entity764 in a young XXXX .

@entity1 @entity1032 @entity583 @entity75 @entity908 @entity7244 @entity910 @entity764 @entity432 @entity453
@entity453 rarely occurs after blunt @entity764 , but it can lead to extensive @entity583 and be frequently overlooked. A 16-yr-old @entity1 was presented with @entity1032 and rapid respiration rate. He ran into guard rail while riding a motorcycle. In routine examination, his electrocardiogram showed Q wave and 2 mm ST segment elevation in all precordial leads, I and aVL. The cardiac enzymes were also elevated: @entity908 kinase (CK)-MB was 300 U/L, and cardiac specific troponin I was 5.7 ng/mL. Two-dimensional echocardiography showed anteroseptal @entity910 with severely depressed left ventricular function, ejection fraction of 28%. He could not receive any anticoagulation or thrombolytic therapy because of his @entity75 . Three weeks later, his mental state improved. A diagnostic coronary angiogram revealed @entity432 in the proximal left anterior descending artery (LAD) with collaterals from the right coronary artery and left circumflex artery. We successfully performed a percutaneous coronary intervention for the @entity7244 , and the final angiogram showed a good coronary flow without residual stenosis.
