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Ventricular Septal Rupture Complicating Delayed Acute Myocardial Infarction Presentation During the COVID-19 Pandemic

Said Alsidawi1, Alex Campbell1, Ashenafi Tamene1

  • 1Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.

JACC. Case Reports
|August 25, 2020
PubMed

Insights

Delayed ST-segment myocardial infarction (STEMI) can lead to ventricular septal rupture. This study highlights two cases of this serious mechanical complication during the COVID-19 pandemic, emphasizing the need for timely interventions.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Critical Care Medicine

Background:

  • Mechanical complications of acute myocardial infarction (AMI) rates have decreased.
  • Concerns exist regarding reduced cardiac catheterization laboratory activation for ST-segment myocardial infarction (STEMI) during the COVID-19 pandemic.
  • Ventricular septal rupture (VSR) is a rare but life-threatening mechanical complication of STEMI.

Keywords:
COVID-19, coronavirus disease-2019ED, emergency departmentLAD, left anterior descending arteryQP/QS, pulmonic/systemic flow for shunt calculationSTEMISTEMI, ST-segment myocardial infarctionTIMI, Thrombolysis In Myocardial Infarctionmechanical complicationsseptal rupture

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