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Published on: June 11, 2020
Acute Myocardial Infarction in a Young Male With COVID-19 Infection
Hovra Zahoor1, Eboselumen Aigbe1, Aamir Hussain2
1Internal Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.
Insights
Coronavirus disease 2019 (COVID-19) can cause arterial thrombosis, leading to myocardial infarction even in young, healthy individuals. This case highlights the need for high suspicion of COVID-19-related heart attacks, irrespective of traditional cardiovascular risk factors.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Medicine
Background:
- Coronavirus disease 2019 (COVID-19) is a global health crisis with varied presentations.
- While COVID-19-related myocarditis is documented, coronary artery thrombosis is rarely reported.
- Previous cases of COVID-19-associated myocardial infarction involved patients with pre-existing cardiovascular risk factors.
Abstract:
Coronavirus disease 2019 (COVID-19) infection is a global health crisis resulting in significant morbidity and mortality. The presentation of COVID-19 infection is variable, ranging from an asymptomatic carrier state to multi-organ failure. While cases of COVID-related myocarditis and myocardial dysfunction are well reported, only a few cases of coronary artery thrombosis resulting in myocardial infarction are noted on literature review. However, the previously reported cases were in patients with high risk for coronary artery disease. We hereby report a case of a young man with no significant past medical history or cardiovascular risk factors who presented with severe chest pain and was diagnosed with acute myocardial infarction in the setting of COVID-19 infection requiring intervention. We want to report this case to improve awareness in the community about COVID-related arterial thrombosis and have a high index of suspicion for this regardless of the person's risk factors for cardiovascular diseases.
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