RESUMO
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
RESUMO
Repaired congenital heart disease has become more prevalent in women of childbearing age. We report an unusual case of a 24-year-old multigravida with a repaired tetralogy of Fallot, severe dilated cardiomyopathy, and implantable cardioverter defibrillator placement who was managed successfully by a cesarean section three times. This case underscores the impact of such events on maternal and fetal safety and the importance of a multidisciplinary approach in the management of pregnant patients with complex congenital and medical problems
Assuntos
Humanos , Feminino , Cardiomiopatia Dilatada , Desfibriladores , Desfibriladores Implantáveis , Tetralogia de Fallot , Parto Obstétrico , Resultado da Gravidez , GravidezRESUMO
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