Asymptomatic COVID-19 and ST-elevation myocardial infarction in young adults: lessons learned from two similar cases

Hamayak Sisakian1, Seda Martirosyan1, Seda Shekoyan1

  • 1Clinic of General and Invasive Cardiology, University Hospital #1, Yerevan State Medical University, Koryun Street 2, Yerevan, 375025, Armenia.

ESC Heart Failure
|November 15, 2021
PubMed

Insights

Young patients with asymptomatic COVID-19 infection can experience severe ST-elevation myocardial infarction (STEMI) and acute heart failure. Early intervention is crucial for managing these critical cardiovascular events.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • COVID-19 has been associated with various cardiovascular complications.
  • ST-elevation myocardial infarction (STEMI) is a serious cardiac event requiring prompt treatment.

Observation:

  • Two young patients with asymptomatic COVID-19 developed STEMI, severe acute heart failure, and ventricular fibrillation.
  • Both patients required cardiopulmonary resuscitation and mechanical ventilatory support.

Findings:

  • Despite young age and lack of symptoms, COVID-19 infection was linked to severe STEMI and heart failure.
  • Primary percutaneous coronary intervention and complex treatment were effective in managing these critical cases.

Implications:

  • Asymptomatic COVID-19 infection poses significant risks for severe acute heart failure in STEMI patients.
  • Clinicians must consider COVID-19 as a potential factor in young STEMI patients, even without respiratory symptoms.

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