Case report of anterior ST-elevation myocardial infarction in a patient with coronavirus disease-2019
Quentin Fischer1, Arthur Darmon1, Grégory Ducrocq1
1Department of Cardiology, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, DHU FIRE, INSERM U-1148, Université de Paris, Paris, France.
Insights
This case study shows that emergent percutaneous coronary intervention is safe for patients with Coronavirus disease-2019 (COVID-19). A multidisciplinary team approach is crucial for successful cardiac intervention in these patients.
Area of Science:
- Cardiology
- Infectious Diseases
- Critical Care Medicine
Background:
- Coronavirus disease-2019 (COVID-19) rapidly spread globally after its emergence in December 2019.
- COVID-19 presents unique challenges in managing patients with pre-existing conditions and acute cardiovascular events.
Observation:
- A patient with COVID-19 and a diabetic foot ulcer developed pulmonary edema and ST-elevation myocardial infarction.
- The patient underwent coronary care and intervention for the myocardial infarction.
Findings:
- Emergent percutaneous coronary intervention (PCI) was successfully performed in a COVID-19 patient with acute myocardial infarction.
- The procedure was feasible and safe, demonstrating the viability of interventional cardiology in COVID-19 patients.
Implications:
- Multidisciplinary collaboration among infectious disease, intensive care, and cardiology teams is essential for managing complex cardiac cases in COVID-19 patients.
- This case highlights the importance of tailored interventional strategies and coordinated care for cardiovascular complications during the COVID-19 pandemic.
Background:
Coronavirus disease-2019 (COVID-19) is an infectious disease appeared in China in December 2019 and, since then, has spread worldwide at a rapid pace.
Case Summary:
A patient with COVID-19 was hospitalized in our institution for a diabetic foot ulcer and presented afterwards a pulmonary oedema and concomitant anterior ST-segment elevation myocardial infarction. We report here on the initial presentation, coronary care and intervention, and clinical course of this patient.
Discussion:
Emergent percutaneous coronary intervention is feasible and safe in COVID-19 patients but requires a multidisciplinary effort involving caregivers from infectious disease, intensive care, and cardiology teams.
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