Journal of Trauma and Injury

Case Report

Silent ST elevation: unmasking blunt cardiac injury: a case report: Vasudha Dinesh, Arun A. Mohanan, Swetha Ramesh, Amaravathi Uthayakumar; J Trauma Inj. 2025;38(3):294-298. Published online June 25, 2025; DOI: https://doi.org/10.20408/jti.2025.0034

Abstract PDF: Blunt cardiac injury is a rare but serious complication of thoracic trauma. We present the case of a 22-year-old male pedestrian involved in a road traffic accident (pedestrian vs. four‑wheeler) who was found to have ST‑segment elevation on electrocardiography during trauma evaluation. Despite being hemodynamically stable and lacking clinical signs or symptoms of cardiac injury, his electrocardiography showed ST elevations in the inferior leads. This case underscores the importance of vigilant cardiac monitoring in polytrauma patients, in whom blunt cardiac injury may be easily overlooked.; Summary

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