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Post-MI Ventricular Septal Defect During the COVID-19 Pandemic
Saurabh Joshi1, Faraz Nasim Kazmi1, Immad Sadiq1
1Interventional Cardiology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, Connecticut.
JACC. Case Reports
|August 25, 2020
Summary
Fear of COVID-19 caused patients to delay seeking medical care, leading to a case of post-infarction ventricular septal rupture. Timely medical attention is crucial, even during a pandemic, for emergent conditions.
Area of Science:
- Cardiology
- Infectious Disease Epidemiology
Background:
- The COVID-19 pandemic created widespread fear of contracting the virus.
- This fear led to patient reluctance in seeking timely medical attention for emergent conditions.
Observation:
- A case of post-infarction ventricular septal rupture was observed.
- The rupture resulted from a delayed presentation for medical care.
Findings:
- Delayed presentation, driven by COVID-19 fears, was the direct cause of the ventricular septal rupture post-myocardial infarction.
- This highlights a critical, yet often overlooked, consequence of the pandemic on acute cardiovascular care.
Implications:
- Healthcare providers must address patient fears to ensure timely access to care during public health crises.
- Public health messaging should encourage seeking immediate care for emergent symptoms, irrespective of pandemic concerns.
- Understanding and mitigating pandemic-related healthcare avoidance is essential for managing cardiovascular emergencies.
Keywords:
CAD, coronary artery diseaseLAD, left anterior descendingMI, myocardial infarctionPCI, percutaneous coronary interventionRCA, right coronary arteryRV, right ventricleVSR, ventricular septal rupturechest paincomplicationleft-sided catheterizationmyocardial infarctionright-sided catheterizationventricular septal defect
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