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Managing Myocardial Infarction in the COVID-19 Epidemic: A Case Report

Mohammad Vojdanparast1, Azra Izanloo2, Zahra Alizadeh Sani3,4

  • 1Razavi Hospital, Imam Reza International University, Mashhad, Iran.

The Journal of Tehran Heart Center
|October 28, 2022
PubMed

Insights

This case study highlights a patient with COVID-19 presenting atypical myocardial infarction symptoms. Early diagnosis and treatment led to a full recovery, emphasizing the varied cardiac manifestations of coronavirus disease 2019.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Coronaviruses, including SARS-CoV-2, can lead to severe pneumonia and extrapulmonary complications.
  • Patients with cardiovascular disease or risk factors are particularly vulnerable to severe COVID-19 outcomes.
  • Myocardial infarction (MI) is a recognized complication in severe cases of coronavirus disease 2019 (COVID-19).

Observation:

  • A patient presented with symptoms suggestive of acute myocardial infarction (MI).
  • The patient did not exhibit typical initial symptoms of COVID-19, such as fever or cough.
  • Diagnostic workup confirmed concurrent diagnoses of COVID-19 and MI.

Findings:

  • This case illustrates an atypical presentation of COVID-19, manifesting primarily as myocardial infarction.
  • Successful thrombolytic therapy was administered for the MI in the context of COVID-19.
  • The patient achieved a complete recovery following treatment.

Implications:

  • COVID-19 can present with varied and atypical symptoms, including cardiac events like MI.
  • Clinicians should consider COVID-19 in patients with MI, even without classic respiratory symptoms.
  • Prompt diagnosis and management are crucial for favorable outcomes in patients with co-occurring COVID-19 and MI.

Keywords:
COVID-19Case reportsEpidemicsMyocardial infarction

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