Acute myocardial infarction in a young adult male associated with the use of smokeless tobacco [Sweka]

Dipping smokeless tobacco [ST] is used worldwide. We report a case of acute myocardial infarction in a young patient, who consumed smokeless tobacco [Sweka] for over one year. ST may be as harmful as smoking and carries adverse cardiac complications. A prompt call for restriction and prohibition is advised and its alternative use to quit smoking must be abandoned

blunt chest trauma causing left anterior descending artery dissection and acute myocardial infarction treated by deferred angioplasty

Traumatic coronary artery dissection is an uncommon cause of acute myocardiat infarction [AMI]. We report a case of blunt chest trauma resulting from a motorcycle collision causing ostial dissection of the left anterior descending [LAD] artery in a 31-year-old previously healthy mate. The patient also suffered from compound comminuted fractures of the humerus and ulna and severe liver laceration, which hampered both percutaneous and surgical acute revasularization. After a stormy hospital course, a bare metal stent was implanted to seal the LAD artery dissection. The patient was discharged in a stable condition and was followed-up for rehabilitation. This case report underscores the multidisciplinary approach in facing challenges encountered after rare sequelae of chest trauma