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ST Elevations in the Era of COVID-19

Charlie Joseph Sang1, Brittain Heindl2, Gregory Von Mering3

  • 1Internal Medicine-Pediatrics Residency Program, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.

Case Reports in Cardiology
|August 29, 2020
PubMed

Insights

Elevated cardiac enzymes in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infections indicate myocardial injury. Coronavirus disease 2019 (COVID-19) presents challenges for patients with ST-segment changes.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Myocardial injury, indicated by elevated cardiac enzymes, is linked to worse outcomes in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infections.
  • Coronavirus disease 2019 (COVID-19) poses diagnostic and management challenges, particularly for patients presenting with acute ST-segment changes on electrocardiograms.

Observation:

  • This report details two unique cases of ST-segment elevation myocardial infarction (STEMI) in patients with active COVID-19 infection.
  • The cases highlight the complex interplay between viral infection and cardiovascular events.

Findings:

  • The electrocardiogram findings of ST elevation in COVID-19 patients necessitate careful evaluation to differentiate between primary cardiac events and COVID-19-related myocardial injury.
  • Prompt diagnosis and tailored management are crucial for improving patient outcomes.

Implications:

  • Front-line clinicians must be aware of the potential for ST elevation in COVID-19 patients.
  • Understanding these presentations is vital for appropriate diagnostic workups and therapeutic strategies in the context of the COVID-19 pandemic.

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