Publication: Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST-segment elevation myocardial infarction, diabetic ketoacidosis and multiorgan failure. He underwent cardiac catheterization and drug eluting stent placement in the ostial right coronary artery with safety protocol. He was discharged to extended-care-facility in stable condition. This is a first case report of silent ST-segment elevation myocardial infarction in a patient presenting with COVID-19. In patients with COVID-19, acute myocardial infarction should be ruled out even when asymptomatic, especially in older patients. Prompt intervention using safety protocol is life-saving.
Description
Nischit Baral
Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America
https://orcid.org/0000-0001-5349-7127
Andrea Montalbano
Department of Internal Medicine, Michigan State University College of Human Medicine, United States of America
Ashiya Khan
Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America
Mehak Qureshi
Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America
Pankaj Luitel
Department of Internal Medicine, AMITA Health/Saint Francis Hospital, United States of America
Keywords
case reports, COVID-19, myocardial infraction, ST elevation myocardial infarction