COVID-19 infection complicated by acute ST-elevation myocardial infarction
Tianyuan Fu1, Galina Mamaliga1, Jonathan D Pierce1
1University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States of America.
Insights
Coronavirus disease-2019 (COVID-19) can cause serious heart problems. This case highlights a patient with COVID-19 who experienced a heart attack, emphasizing the need for vigilance regarding cardiovascular complications.
Area of Science:
- Cardiology
- Infectious Diseases
- Virology
Background:
- Coronavirus disease-2019 (COVID-19), caused by SARS-CoV-2, is primarily a respiratory illness.
- Emerging evidence indicates significant cardiovascular implications associated with COVID-19.
- Clinicians require heightened awareness of these cardiac manifestations.
Purpose of the Study:
- To report a case of ST elevation myocardial infarction in a patient with COVID-19.
- To underscore the potential for cardiovascular disease in COVID-19 infection.
- To promote clinical vigilance for cardiac complications in at-risk patients.
Main Methods:
- Case report presentation.
- Review of clinical course and management of a patient with COVID-19 and myocardial infarction.
- Discussion of diagnostic and therapeutic considerations.
Main Results:
- A patient with COVID-19 developed ST elevation myocardial infarction.
- The patient successfully underwent percutaneous coronary intervention.
- This case illustrates a severe cardiovascular complication of COVID-19.
Conclusions:
- COVID-19 infection poses a risk for cardiovascular events, including myocardial infarction.
- A high index of suspicion for cardiac involvement is crucial in COVID-19 patients, especially those with pre-existing cardiovascular risk factors.
- Prompt recognition and management of cardiovascular complications are essential for patient outcomes.
Abstract:
Clinicians should be aware of the potential for cardiovascular involvement in COVID-19 infection. Coronavirus disease-2019 (COVID-19) is a viral illness caused by severe acute respiratory syndrome-coronavirus-2. While it primarily causes a respiratory illness, a number of important cardiovascular implications have been reported. We describe a patient presenting with COVID-19 whose hospital course was complicated by ST elevation myocardial infarction requiring percutaneous coronary intervention. The goal is to help clinicians gain awareness of the possibility of cardiovascular disease in COVID-19 infection, and maintain a high index of suspicion particularly for patients with risk factors or a prior history of cardiovascular disease.
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