tetano
Editor, Senior Moderator
Cureus
. 2022 Feb 5;14(2):e21943.
doi: 10.7759/cureus.21943. eCollection 2022 Feb.
ST-Elevation Myocardial Infarction as a Late Complication of Mild Coronavirus Disease 2019 Infection: A Case Report
Mahmoud Abdelnabi[SUP] 1 2 [/SUP], Juthipong Benjanuwattra[SUP] 2 [/SUP], Abdallah Almaghraby[SUP] 3 [/SUP], Yehia Saleh[SUP] 4 [/SUP], Kenneth Nugent[SUP] 2 [/SUP]
Affiliations
Abstract
Endothelial dysfunction with subsequent thrombosis and, less commonly, vasculitis has been implicated during the active phase of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection. However, less has been described during the recovery phase or as late sequelae. Here, we report a case of acute anterior wall ST-elevation myocardial infarction in a female patient with no medical history of cardiovascular risk factors as a post-infectious complication of coronavirus disease 2019 (COVID-19). Coronary angiography revealed total occlusion of her left anterior descending, right coronary arteries, and tight stenosis in the left circumflex artery. Successful revascularization with a staged percutaneous coronary intervention was achieved. To date, there is not much data regarding the late cardiovascular sequelae of COVID-19 and its possible mechanisms. Prolonged follow-up, even for mild cases of COVID-19, is advised for early diagnosis and treatment of long-term complications of COVID-19.
Keywords: covid-19; myocardial infarction; percutaneous coronary intervention; sars-cov-2; vasculitis.
. 2022 Feb 5;14(2):e21943.
doi: 10.7759/cureus.21943. eCollection 2022 Feb.
ST-Elevation Myocardial Infarction as a Late Complication of Mild Coronavirus Disease 2019 Infection: A Case Report
Mahmoud Abdelnabi[SUP] 1 2 [/SUP], Juthipong Benjanuwattra[SUP] 2 [/SUP], Abdallah Almaghraby[SUP] 3 [/SUP], Yehia Saleh[SUP] 4 [/SUP], Kenneth Nugent[SUP] 2 [/SUP]
Affiliations
- PMID: 35273884
- PMCID: PMC8901422
- DOI: 10.7759/cureus.21943
Abstract
Endothelial dysfunction with subsequent thrombosis and, less commonly, vasculitis has been implicated during the active phase of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection. However, less has been described during the recovery phase or as late sequelae. Here, we report a case of acute anterior wall ST-elevation myocardial infarction in a female patient with no medical history of cardiovascular risk factors as a post-infectious complication of coronavirus disease 2019 (COVID-19). Coronary angiography revealed total occlusion of her left anterior descending, right coronary arteries, and tight stenosis in the left circumflex artery. Successful revascularization with a staged percutaneous coronary intervention was achieved. To date, there is not much data regarding the late cardiovascular sequelae of COVID-19 and its possible mechanisms. Prolonged follow-up, even for mild cases of COVID-19, is advised for early diagnosis and treatment of long-term complications of COVID-19.
Keywords: covid-19; myocardial infarction; percutaneous coronary intervention; sars-cov-2; vasculitis.