Indirect Ballistic Injury Resulting in Non-ST-Segment Elevation Myocardial Infarction

Leon Zhou; Deniz Rafiei; Emad Mogadam; Rashid Alavi; Niema M Pahlevan; Anilkumar Mehra

doi:10.1016/j.jaccas.2024.102752

Indirect Ballistic Injury Resulting in Non-ST-Segment Elevation Myocardial Infarction

JACC Case Rep. 2024 Dec 4;30(1):102752. doi: 10.1016/j.jaccas.2024.102752. eCollection 2025 Jan 1.

Authors

Leon Zhou¹, Deniz Rafiei², Emad Mogadam³, Rashid Alavi^{4

5}, Niema M Pahlevan^{1

2}, Anilkumar Mehra⁶

Affiliations

¹ Division of Cardiovascular Medicine, Keck School of Medicine at USC, Los Angeles, California, USA.
² Department of Aerospace and Mechanical Engineering, University of Southern California, Los Angeles, California, USA.
³ Division of Cardiovascular Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
⁴ Division of Engineering and Applied Sciences, Department of Medical Engineering, California Institute of Technology, Pasadena, California, USA.
⁵ Cardiovascular Research Institute, Huntington Medical Research Institutes, Pasadena, California, USA.
⁶ Division of Cardiovascular Medicine, Los Angeles General Medical Center, Los Angeles, California, USA.

Abstract

Gunshot-related myocardial injuries typically result from direct penetrating injury by the traversing bullet. We present a case of gunshot-related myocardial injury in the absence of direct penetrating injury to the cardiac structures and describe alternative mechanisms for ballistic-induced injury.

Keywords: NSTEMI; ballistic; gunshot.

Publication types

Case Reports