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Post-infectious ST elevation myocardial infarction following a COVID-19 infection: A case report

Manuela Ceccarelli1, Andrea Marino1, Federica Cosentino1,2

  • 1Unit of Infectious Diseases, ARNAS Garibaldi, Nesima Hospital, Department of Clinical and Experimental Medicine, University of Catania, I-95122 Catania, Sicily, Italy.

Biomedical Reports
|January 6, 2022
PubMed

Insights

This case report details a patient with COVID-19 who experienced a heart attack, specifically ST-segment elevation myocardial infarction (STEMI). It suggests a link between SARS-CoV-2 infection and acute coronary syndrome, possibly due to inflammation and hypoxemia.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) infection is associated with a hypercoagulable state, increasing thrombotic event risk.
  • Pre-existing conditions like hypertension and metabolic disorders can exacerbate COVID-19 complications.

Observation:

  • A 59-year-old woman with hypertension and metabolic disorders developed cardiac symptoms during COVID-19 hospitalization.
  • Electrocardiogram and cardiac ultrasound confirmed ST-segment elevation myocardial infarction (STEMI).

Findings:

  • The patient successfully underwent percutaneous coronary intervention for STEMI.
  • This case suggests a potential association between SARS-CoV-2 infection and acute coronary syndrome.

Implications:

  • The link between SARS-CoV-2 and cardiovascular events may involve proinflammatory states and hypoxemia.
  • Further research is needed to understand the long-term cardiovascular sequelae of COVID-19.

Keywords:
COVID-19ST-segment elevation myocardial infarctionSevere Acute Respiratory Syndrome-Coronavirus-2post-infectious sequelae

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