Management of a patient presenting with anterior STEMI with concomitant COVID-19 infection early in the course of the U.S. pandemic

Catheter Cardiovasc Interv. 2021 Feb 15;97(3):E333-E338. doi: 10.1002/ccd.28967. Epub 2020 May 29.

Abstract

The coronavirus disease-2019 (COVID-19) is a viral illness with heterogenous clinical manifestations, ranging from mild symptoms to severe acute respiratory distress syndrome and shock caused by the severe acute respiratory syndrome coronavirus-2. The global healthcare community is rapidly learning more about the effects of COVID-19 on the cardiovascular system, as well as the strategies for management of infected patients with cardiovascular disease. There is minimal literature available surrounding the relationship between COVID-19 infection and acute coronary syndrome. We describe the case of a woman who presented with an acute anterior ST-elevation myocardial infarction managed by primary percutaneous coronary intervention, who subsequently developed severe COVID-19 infection and ultimately succumbed to multisystem organ failure.

Keywords: SARS-CoV-2; cytokine Storm; myocardial infarction; revascularization.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • COVID-19 / complications*
  • COVID-19 / diagnosis
  • COVID-19 / therapy*
  • Delayed Diagnosis
  • Fatal Outcome
  • Female
  • Humans
  • Percutaneous Coronary Intervention
  • ST Elevation Myocardial Infarction / diagnosis
  • ST Elevation Myocardial Infarction / therapy*
  • ST Elevation Myocardial Infarction / virology*
  • Vermont