Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report
Background: Multiple thrombi are likely to develop in Coronavirus Disease 2019 (COVID-19) patients. Hence, achieving successful outcomes following catheterization becomes quite challenging in such patients. Case presentation: We report a challenging case of a 36-year-old female with ST-Segment El...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Journal of Ideas in Health
2021-12-01
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| Series: | Journal of Ideas in Health |
| Subjects: | |
| Online Access: | https://www.jidhealth.com/index.php/jidhealth/article/view/190 |
| _version_ | 1797919765096824832 |
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| author | Bhupesh Shah Harshal Shah Darshil Shah |
| author_facet | Bhupesh Shah Harshal Shah Darshil Shah |
| author_sort | Bhupesh Shah |
| collection | DOAJ |
| description | Background: Multiple thrombi are likely to develop in Coronavirus Disease 2019 (COVID-19) patients. Hence, achieving successful outcomes following catheterization becomes quite challenging in such patients.
Case presentation: We report a challenging case of a 36-year-old female with ST-Segment Elevation Myocardial Infarction (STEMI). Coronary angiography revealed multiple irregularities in the coronary tree as well as thrombi. Although computed tomography imaging of the thorax was normal, reverse transcription-polymerase chain reaction (RT-PCR) confirmed the diagnosis of COVID-19. The outcome was good TIMI flow after a successful Primary Angioplasty in Acute Myocardial Infarction (PAMI), and the patient was isolated and then switched to oral anticoagulants (clopidogrel) for dual antiplatelet therapy (DAPT) therapy.
Conclusion: This case emphasizes the management of a COVID-19 patient for PAMI. |
| first_indexed | 2024-04-10T13:50:42Z |
| format | Article |
| id | doaj.art-22bd560e35904fa7b43970b5f5393155 |
| institution | Directory Open Access Journal |
| issn | 2645-9248 |
| language | English |
| last_indexed | 2024-04-10T13:50:42Z |
| publishDate | 2021-12-01 |
| publisher | Journal of Ideas in Health |
| record_format | Article |
| series | Journal of Ideas in Health |
| spelling | doaj.art-22bd560e35904fa7b43970b5f53931552023-02-15T16:10:42ZengJournal of Ideas in HealthJournal of Ideas in Health2645-92482021-12-014410.47108/jidhealth.Vol4.Iss4.190Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case reportBhupesh Shah0Harshal Shah1Darshil Shah2Department of Cardiology, HCG Hospitals, Ahmedabad-380006, Gujarat, IndiaDepartment of Cardiology, NHL Municipal Medical College, Ahmedabad-380006, Gujarat, IndiaDepartment of Cardiology, NHL Municipal Medical College, Ahmedabad-380006, Gujarat, IndiaBackground: Multiple thrombi are likely to develop in Coronavirus Disease 2019 (COVID-19) patients. Hence, achieving successful outcomes following catheterization becomes quite challenging in such patients. Case presentation: We report a challenging case of a 36-year-old female with ST-Segment Elevation Myocardial Infarction (STEMI). Coronary angiography revealed multiple irregularities in the coronary tree as well as thrombi. Although computed tomography imaging of the thorax was normal, reverse transcription-polymerase chain reaction (RT-PCR) confirmed the diagnosis of COVID-19. The outcome was good TIMI flow after a successful Primary Angioplasty in Acute Myocardial Infarction (PAMI), and the patient was isolated and then switched to oral anticoagulants (clopidogrel) for dual antiplatelet therapy (DAPT) therapy. Conclusion: This case emphasizes the management of a COVID-19 patient for PAMI.https://www.jidhealth.com/index.php/jidhealth/article/view/190ST-Segment Elevation Myocardial Infarction, Coronary Angiography, Coronavirus Disease 2019, Multiple Thrombi, Primary Angioplasty in Acute Myocardial Infarction, India |
| spellingShingle | Bhupesh Shah Harshal Shah Darshil Shah Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report Journal of Ideas in Health ST-Segment Elevation Myocardial Infarction, Coronary Angiography, Coronavirus Disease 2019, Multiple Thrombi, Primary Angioplasty in Acute Myocardial Infarction, India |
| title | Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report |
| title_full | Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report |
| title_fullStr | Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report |
| title_full_unstemmed | Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report |
| title_short | Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report |
| title_sort | multiple irregularities and thrombus in a patient with covid 19 presenting with st segment elevation myocardial infarction a case report |
| topic | ST-Segment Elevation Myocardial Infarction, Coronary Angiography, Coronavirus Disease 2019, Multiple Thrombi, Primary Angioplasty in Acute Myocardial Infarction, India |
| url | https://www.jidhealth.com/index.php/jidhealth/article/view/190 |
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