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Cardiac coup and contrecoup following a suicide attempt
  1. Andre Briosa e Gala1,
  2. Anthony Dimarco1,
  3. Sobana Battinson2,
  4. Ausami Abbas2,
  5. John Rawlins1,
  6. Michael Mahmoudi1
  1. 1Departmemt of Cardiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  2. 2Department of Cardiothoracic Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  1. Correspondence to Dr Andre Briosa e Gala, Departmemt of Cardiology, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK; andre.gala{at}ouh.nhs.uk

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A 48-year-old man was admitted as a Level 1 trauma after attempting suicide by jumping 28 m into a river. He was haemodynamically stable with unremarkable physical examination except for bilateral periorbital bruising. Trauma-protocol CT demonstrated an isolated T5 vertebral fracture.

Despite being pain free, serial ECGs showed dynamic anterior ST-elevation. Review of the trauma CT identified a subtle perfusion defect in the left anterior descending artery (LAD) territory in keeping with a recent infarct, but motion artefact made assessment of the aortic root challenging. In view these findings, …

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Footnotes

  • Contributors ABeG and AD wrote the manuscript. SB and AA performed and reported the cross-sectional imaging. AA, JR and MM reviewed and edited the manuscript. All authors approved the manuscript prior to submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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