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ST-segment elevation in patients presenting with COVID-19: case series
BACKGROUND : The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the now pandemic disease, coronavirus disease (COVID-19). A number of reports have emerged suggesting these patients may present with signs and symptoms consistent with ST-segment elevation...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898565/ https://www.ncbi.nlm.nih.gov/pubmed/33644657 http://dx.doi.org/10.1093/ehjcr/ytaa553 |
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author | Saririan, Mehrdad Armstrong, Richard George, Jon C Olechowski, Bartosz O’Connor, Stephen Byrd, James Brian Chapman, Andrew R |
author_facet | Saririan, Mehrdad Armstrong, Richard George, Jon C Olechowski, Bartosz O’Connor, Stephen Byrd, James Brian Chapman, Andrew R |
author_sort | Saririan, Mehrdad |
collection | PubMed |
description | BACKGROUND : The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the now pandemic disease, coronavirus disease (COVID-19). A number of reports have emerged suggesting these patients may present with signs and symptoms consistent with ST-segment elevation myocardial infarction without coronary artery occlusion. CASE SUMMARY : We report an international case series of patients with confirmed COVID-19 infection who presented with suspected ST-segment elevation myocardial infarction. Three patients with confirmed COVID-19 presented with electrocardiogram criteria for ST-segment elevation myocardial infarction. No patient had obstructive coronary disease at coronary angiography. Post-mortem histology in one case demonstrated myocardial ischaemia in the absence of coronary atherothrombosis or myocarditis. DISCUSSION : Patients with COVID-19 may present with features consistent with ST-segment elevation myocardial infarction and patent coronary arteries. The prevalence and clinical outcomes of this condition require systematic investigation in consecutive unselected patients. |
format | Online Article Text |
id | pubmed-7898565 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-78985652021-02-25 ST-segment elevation in patients presenting with COVID-19: case series Saririan, Mehrdad Armstrong, Richard George, Jon C Olechowski, Bartosz O’Connor, Stephen Byrd, James Brian Chapman, Andrew R Eur Heart J Case Rep Case Series BACKGROUND : The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the now pandemic disease, coronavirus disease (COVID-19). A number of reports have emerged suggesting these patients may present with signs and symptoms consistent with ST-segment elevation myocardial infarction without coronary artery occlusion. CASE SUMMARY : We report an international case series of patients with confirmed COVID-19 infection who presented with suspected ST-segment elevation myocardial infarction. Three patients with confirmed COVID-19 presented with electrocardiogram criteria for ST-segment elevation myocardial infarction. No patient had obstructive coronary disease at coronary angiography. Post-mortem histology in one case demonstrated myocardial ischaemia in the absence of coronary atherothrombosis or myocarditis. DISCUSSION : Patients with COVID-19 may present with features consistent with ST-segment elevation myocardial infarction and patent coronary arteries. The prevalence and clinical outcomes of this condition require systematic investigation in consecutive unselected patients. Oxford University Press 2021-02-08 /pmc/articles/PMC7898565/ /pubmed/33644657 http://dx.doi.org/10.1093/ehjcr/ytaa553 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Series Saririan, Mehrdad Armstrong, Richard George, Jon C Olechowski, Bartosz O’Connor, Stephen Byrd, James Brian Chapman, Andrew R ST-segment elevation in patients presenting with COVID-19: case series |
title | ST-segment elevation in patients presenting with COVID-19: case series |
title_full | ST-segment elevation in patients presenting with COVID-19: case series |
title_fullStr | ST-segment elevation in patients presenting with COVID-19: case series |
title_full_unstemmed | ST-segment elevation in patients presenting with COVID-19: case series |
title_short | ST-segment elevation in patients presenting with COVID-19: case series |
title_sort | st-segment elevation in patients presenting with covid-19: case series |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898565/ https://www.ncbi.nlm.nih.gov/pubmed/33644657 http://dx.doi.org/10.1093/ehjcr/ytaa553 |
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