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Two is not always better than one: ST-segment elevation myocardial infarction and acute pulmonary embolism in

Avinash Radhakrishna1, Mohammed Omar Abdelaziz1, Niall Mulvihill1

  • 1Department of Cardiology, St. Vincent's University Hospital, Dublin 4, Ireland.

Oxford Medical Case Reports
|June 30, 2022
PubMed

Insights

Severe COVID-19 can cause heart attack and blood clots in healthy individuals. Prompt treatment including blood clot removal and anticoagulation led to recovery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Coronavirus disease 2019 (COVID-19) presents a global health challenge with known cardiovascular implications.
  • Understanding the multifaceted impact of COVID-19 on the cardiovascular system is crucial for patient management.

Observation:

  • A case study of a previously healthy male diagnosed with severe COVID-19 pneumonitis.
  • The patient presented with ST-segment elevation myocardial infarction and pulmonary embolism.

Findings:

  • COVID-19 can induce a prothrombotic state through hyperinflammatory immune responses and direct endothelial damage.
  • Cytokine storm associated with COVID-19 can lead to endothelial dysfunction and subsequent thromboembolic events.
  • Successful recovery was achieved through coronary thromboaspiration and anticoagulation therapy.

Implications:

  • Highlights the potential for severe cardiovascular complications in COVID-19 patients, even those without prior risk factors.
  • Emphasizes the importance of recognizing and managing cardio-pulmonary sequelae of COVID-19.
  • Underscores the need for vigilance regarding cardiovascular complications as new COVID-19 variants emerge.

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