Extensive Coronary Thrombosis as a Sequelae of COVID-19 Presenting as a STEMI
Muhammad Madkour1, Javad Savoj2, Syed Iftikhar2
1Internal Medicine, University of California Riverside School of Medicine/Riverside Community Hospital, Riverside, USA.
Insights
Patients recovering from Coronavirus disease 2019 (COVID-19) may face prolonged risks of ST-elevation myocardial infarction (STEMI). This case highlights potential coronary thrombosis weeks after infection clearance, emphasizing the need for continued cardiovascular monitoring.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Biology
Background:
- Systemic inflammation during active Coronavirus disease 2019 (COVID-19) is linked to thrombotic complications, including ST-elevation myocardial infarction (STEMI).
- Endothelial activation and a hypercoagulable state contribute to microvascular thrombosis in COVID-19 patients.
Observation:
- This case study examines a patient who developed coronary thrombosis three to four weeks after clearing the COVID-19 infection.
- The patient presented with symptoms suggestive of a cardiovascular event post-infection.
Findings:
- The patient experienced ST-elevation myocardial infarction (STEMI) weeks after the initial COVID-19 infection resolved.
- This suggests a persistent risk of coronary thrombosis as a sequela of the disease burden, even after viral clearance.
Implications:
- The findings underscore the potential for delayed thrombotic events following COVID-19 infection.
- Further research is needed to understand the duration of this risk and guide long-term patient management.
- Cardiovascular monitoring may be warranted in patients recovering from significant COVID-19 illness.
Abstract:
Thrombotic complications, in particular ST-elevation myocardial infarction (STEMI), have been described in active Coronavirus disease 2019 (COVID-19) cases. This is a result of systemic inflammation that often leads to endothelial activation, microvascular thrombosis and a hypercoagulable state. However, it is unknown how long patients who have cleared the COVID-19 infection remain at risk for coronary thrombosis as a sequela of disease burden. We present a case of a patient who presented three to four weeks following the initial infection.
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