Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia

An 84-year-old man with coronavirus disease 2019 pneumonia developed ST-segment-elevation myocardial infarction and was brought to the catheterization laboratory. His angiogram showed a haziness in distal right coronary artery, and optical coherence tomography (OCT) exhibited vascular spasm and OCT-...

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Autores principales: Nakao, Masahiko, Matsuda, Junji, Iwai, Miho, Endo, Akira, Yonetsu, Taishi, Otomo, Yasuhiro, Sasano, Tetsuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Cardiology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543701/
https://www.ncbi.nlm.nih.gov/pubmed/33052252
http://dx.doi.org/10.1016/j.jccase.2020.09.012
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author Nakao, Masahiko
Matsuda, Junji
Iwai, Miho
Endo, Akira
Yonetsu, Taishi
Otomo, Yasuhiro
Sasano, Tetsuo
author_facet Nakao, Masahiko
Matsuda, Junji
Iwai, Miho
Endo, Akira
Yonetsu, Taishi
Otomo, Yasuhiro
Sasano, Tetsuo
author_sort Nakao, Masahiko
collection PubMed
description An 84-year-old man with coronavirus disease 2019 pneumonia developed ST-segment-elevation myocardial infarction and was brought to the catheterization laboratory. His angiogram showed a haziness in distal right coronary artery, and optical coherence tomography (OCT) exhibited vascular spasm and OCT-defined plaque erosion, which were thought to be the causes of non-obstructive myocardial infarction. <Learning objective: Severe acute respiratory syndrome coronavirus 2 infection provokes various complications, which include acute myocardial infarction (AMI). Nevertheless, the mechanisms and characteristics of AMI in patients with coronavirus disease 2019 have not been elucidated. In the present case, coronary spasm and optical coherence tomography (OCT)-defined plaque erosion were confirmed as the substrates of coronary thrombosis by the findings of intracoronary OCT.>
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spelling pubmed-75437012020-10-09 Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia Nakao, Masahiko Matsuda, Junji Iwai, Miho Endo, Akira Yonetsu, Taishi Otomo, Yasuhiro Sasano, Tetsuo J Cardiol Cases Case Report An 84-year-old man with coronavirus disease 2019 pneumonia developed ST-segment-elevation myocardial infarction and was brought to the catheterization laboratory. His angiogram showed a haziness in distal right coronary artery, and optical coherence tomography (OCT) exhibited vascular spasm and OCT-defined plaque erosion, which were thought to be the causes of non-obstructive myocardial infarction. <Learning objective: Severe acute respiratory syndrome coronavirus 2 infection provokes various complications, which include acute myocardial infarction (AMI). Nevertheless, the mechanisms and characteristics of AMI in patients with coronavirus disease 2019 have not been elucidated. In the present case, coronary spasm and optical coherence tomography (OCT)-defined plaque erosion were confirmed as the substrates of coronary thrombosis by the findings of intracoronary OCT.> Japanese College of Cardiology 2020-10-08 /pmc/articles/PMC7543701/ /pubmed/33052252 http://dx.doi.org/10.1016/j.jccase.2020.09.012 Text en © 2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
spellingShingle Case Report
Nakao, Masahiko
Matsuda, Junji
Iwai, Miho
Endo, Akira
Yonetsu, Taishi
Otomo, Yasuhiro
Sasano, Tetsuo
Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia
title Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia
title_full Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia
title_fullStr Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia
title_full_unstemmed Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia
title_short Coronary spasm and optical coherence tomography defined plaque erosion causing ST-segment-elevation acute myocardial infarction in a patient with COVID-19 pneumonia
title_sort coronary spasm and optical coherence tomography defined plaque erosion causing st-segment-elevation acute myocardial infarction in a patient with covid-19 pneumonia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543701/
https://www.ncbi.nlm.nih.gov/pubmed/33052252
http://dx.doi.org/10.1016/j.jccase.2020.09.012
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