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Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature

BACKGROUND: Thrombotic complications of COVID-19 infection have become increasingly apparent as the disease has infected a growing number of individuals. Although less common than upper respiratory symptoms, thrombotic complications are not infrequent and may result in severe and long-term sequelae....

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Autores principales: Capaccione, Kathleen M., Leb, Jay S., D'souza, Belinda, Utukuri, Pallavi, Salvatore, Mary M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7666611/
https://www.ncbi.nlm.nih.gov/pubmed/33296828
http://dx.doi.org/10.1016/j.clinimag.2020.11.030
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author Capaccione, Kathleen M.
Leb, Jay S.
D'souza, Belinda
Utukuri, Pallavi
Salvatore, Mary M.
author_facet Capaccione, Kathleen M.
Leb, Jay S.
D'souza, Belinda
Utukuri, Pallavi
Salvatore, Mary M.
author_sort Capaccione, Kathleen M.
collection PubMed
description BACKGROUND: Thrombotic complications of COVID-19 infection have become increasingly apparent as the disease has infected a growing number of individuals. Although less common than upper respiratory symptoms, thrombotic complications are not infrequent and may result in severe and long-term sequelae. Common thrombotic complications include pulmonary embolism, cerebral infarction, or venous thromboembolism; less commonly seen are acute myocardial injury, renal artery thrombosis, and mesenteric ischemia. Several case reports and case series have described acute myocardial injury in patients with COVID-19 characterized by elevations in serum biomarkers. CASE REPORT: Here, we report the first case to our knowledge of a patient with acute coronary syndrome confirmed on catheter angiography and cardiac MRI. This patient was found to additionally have a left ventricular thrombus and ultimately suffered an acute cerebral infarction. Recognition of thrombotic complications in the setting of COVID-19 infection is essential for initiating appropriate therapy. CONCLUSIONS: In acute myocardial injury, given the different treatment strategies for myocarditis versus acute myocardial infarction secondary to coronary artery thrombus, imaging can play a key role in clinical decision making for patients.
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spelling pubmed-76666112020-11-16 Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature Capaccione, Kathleen M. Leb, Jay S. D'souza, Belinda Utukuri, Pallavi Salvatore, Mary M. Clin Imaging Cardiothoracic Imaging BACKGROUND: Thrombotic complications of COVID-19 infection have become increasingly apparent as the disease has infected a growing number of individuals. Although less common than upper respiratory symptoms, thrombotic complications are not infrequent and may result in severe and long-term sequelae. Common thrombotic complications include pulmonary embolism, cerebral infarction, or venous thromboembolism; less commonly seen are acute myocardial injury, renal artery thrombosis, and mesenteric ischemia. Several case reports and case series have described acute myocardial injury in patients with COVID-19 characterized by elevations in serum biomarkers. CASE REPORT: Here, we report the first case to our knowledge of a patient with acute coronary syndrome confirmed on catheter angiography and cardiac MRI. This patient was found to additionally have a left ventricular thrombus and ultimately suffered an acute cerebral infarction. Recognition of thrombotic complications in the setting of COVID-19 infection is essential for initiating appropriate therapy. CONCLUSIONS: In acute myocardial injury, given the different treatment strategies for myocarditis versus acute myocardial infarction secondary to coronary artery thrombus, imaging can play a key role in clinical decision making for patients. Elsevier Inc. 2021-04 2020-11-14 /pmc/articles/PMC7666611/ /pubmed/33296828 http://dx.doi.org/10.1016/j.clinimag.2020.11.030 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Cardiothoracic Imaging
Capaccione, Kathleen M.
Leb, Jay S.
D'souza, Belinda
Utukuri, Pallavi
Salvatore, Mary M.
Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature
title Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature
title_full Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature
title_fullStr Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature
title_full_unstemmed Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature
title_short Acute myocardial infarction secondary to COVID-19 infection: A case report and review of the literature
title_sort acute myocardial infarction secondary to covid-19 infection: a case report and review of the literature
topic Cardiothoracic Imaging
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7666611/
https://www.ncbi.nlm.nih.gov/pubmed/33296828
http://dx.doi.org/10.1016/j.clinimag.2020.11.030
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