Coronary stenting during burn shock: diagnostic and treatment considerations

Document Type

Article

Publication Title

Journal of burn care & research : official publication of the American Burn Association

Abstract

Myocardial injury is known to occur in victims of both thermal and electrical burns. A variety of mechanisms have been ascribed to the pathogenesis of cardiac damage during burn shock. However, limited evidence exists that coronary artery thrombosis plays a frequent role. Distinguishing between acute coronary syndrome (impending myocardial infarction from coronary artery occlusion) vs global cardiac injury is essential; the care diverges drastically. The following case describes a patient who was angiographically proven to have acute coronary thrombosis amidst burn shock ftera 50% TBSA electrical flash burn. Managing the patient's burn shock, myocardial injury, and multiple surgical procedures while considering antiplatelet medications for a newly placed coronary artery stent presented a number of challenges not previously reported.

First Page

905

Last Page

9

DOI

10.1097/01.BCR.0000246050.67205.EB

Publication Date

1-1-2006

Identifier

17091091 (pubmed); 10.1097/01.BCR.0000246050.67205.EB (doi); 01253092-200611000-00024 (pii)

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