Late onset ST-elevation myocardial infarction (STEMI) in patient with COVID-19: A case report from Nepal
Prince Mandal1, Sangam Shah1, Rajan Chamlagain2
1Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, 44600, Nepal.
Insights
This case report highlights a rare complication of COVID-19 in an 82-year-old male who developed ST-segment elevated myocardial infarction (STEMI). Early recognition and monitoring for cardiac issues are crucial, particularly in patients with diabetes mellitus.
Area of Science:
- Cardiology
- Infectious Diseases
- Internal Medicine
Background:
- COVID-19 is increasingly recognized for its extrapulmonary manifestations, including significant cardiovascular complications.
- While pulmonary issues are common, cardiac involvement poses a serious threat, necessitating careful patient monitoring.
- Risk factors like diabetes mellitus can exacerbate cardiovascular risks associated with COVID-19.
Observation:
- An 82-year-old male patient presented with ST-segment elevated myocardial infarction (STEMI) as a complication of COVID-19.
- This case underscores the potential for severe cardiac events following SARS-CoV-2 infection.
Findings:
- COVID-19 is associated with a spectrum of cardiovascular issues, including myocardial damage, heart failure, arrhythmia, and venous thromboembolism.
- The prevalence of cardiovascular manifestations has risen with the COVID-19 pandemic.
- The exact mechanisms driving systemic and extrapulmonary manifestations of COVID-19 remain under investigation.
Implications:
- Understanding the mechanisms of COVID-19-induced cardiac complications is vital for effective patient management.
- Continuous monitoring of patients, especially those with pre-existing conditions like diabetes, is essential.
- Prompt recognition and management of myocardial infarction in COVID-19 patients can improve outcomes.
Introduction:
Although pulmonary consequences are less common in COVID-19 than cardiac issues, it is critical to understand the cause of probable cardiac complications and put the patient on constant watch, especially if they have risk factors such as diabetes mellitus.
Case Presentation:
Here, we report a case of 82-years old male with ST-segment elevated myocardial infarction (STEMI) that was developed as a complication of COVID-19.
Discussion:
COVID-19 is now known to cause cardiovascular issues such as myocardial damage, heart failure, arrhythmia, and venous thromboembolism. With the involvement of COVID-19, the prevalence of cardiovascular manifestation has increased. The precise processes of extrapulmonary and systemic manifestations following COVID-19 are unknown. There is an elevated risk of cardiovascular harm, notably myocardial infraction followed by acute infection.
Conclusion:
It is essential to understand the mechanism of potential cardiac complications and to keep the patient on close watch, especially if the patient has risk factors such as diabetes mellitus.
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