Related Experiment Video

Updated: Nov 11, 2025

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

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Late presentation of myocardial infarction (MI) during the COVID-19 pandemic

Chidambaram Chinniah1, Brian Conway2, Neil Yager2

  • 1Albany Medical College, Albany, New York, USA chinnic@amc.edu.

BMJ Case Reports
|March 30, 2021
PubMed

Insights

A 65-year-old man experienced prolonged chest pain, later developing severe dyspnea due to a fully blocked Left Anterior Descending artery (LAD). Due to late presentation, medical management was advised to avoid reperfusion injury risks.

Area of Science:

  • Cardiology
  • Emergency Medicine

Background:

  • A 65-year-old male presented with progressive dyspnea.
  • Symptoms were preceded by 2 days of crushing substernal chest pain 3 weeks prior.

Purpose of the Study:

  • To report a case of myocardial infarction with a late presentation.

Main Methods:

  • Patient presented to the emergency department with worsening dyspnea.
  • Coronary angiography was performed.

Main Results:

  • Coronary angiography revealed 100% occlusion of the Left Anterior Descending artery (LAD).
  • The patient was diagnosed with myocardial infarction.

Conclusions:

  • Medical management was recommended due to the late presentation.
  • Risk of reperfusion injury influenced the treatment decision.

Keywords:
cardiovascular medicineinterventional cardiologypublic health

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