Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report

Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST...

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Autores principales: Baral, Nischit, Montalbano, Andrea, Khan, Ashiya, Qureshi, Mehak, Luitel, Pankaj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107826/
https://www.ncbi.nlm.nih.gov/pubmed/35199691
http://dx.doi.org/10.31729/jnma.6933
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author Baral, Nischit
Montalbano, Andrea
Khan, Ashiya
Qureshi, Mehak
Luitel, Pankaj
author_facet Baral, Nischit
Montalbano, Andrea
Khan, Ashiya
Qureshi, Mehak
Luitel, Pankaj
author_sort Baral, Nischit
collection PubMed
description Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST-segment elevation myocardial infarction, diabetic ketoacidosis and multiorgan failure. He underwent cardiac catheterization and drug eluting stent placement in the ostial right coronary artery with safety protocol. He was discharged to extended-care-facility in stable condition. This is a first case report of silent ST-segment elevation myocardial infarction in a patient presenting with COVID-19. In patients with COVID-19, acute myocardial infarction should be ruled out even when asymptomatic, especially in older patients. Prompt intervention using safety protocol is life-saving.
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spelling pubmed-91078262022-05-27 Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report Baral, Nischit Montalbano, Andrea Khan, Ashiya Qureshi, Mehak Luitel, Pankaj JNMA J Nepal Med Assoc Case Report Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST-segment elevation myocardial infarction, diabetic ketoacidosis and multiorgan failure. He underwent cardiac catheterization and drug eluting stent placement in the ostial right coronary artery with safety protocol. He was discharged to extended-care-facility in stable condition. This is a first case report of silent ST-segment elevation myocardial infarction in a patient presenting with COVID-19. In patients with COVID-19, acute myocardial infarction should be ruled out even when asymptomatic, especially in older patients. Prompt intervention using safety protocol is life-saving. Journal of the Nepal Medical Association 2021-10 2021-10-31 /pmc/articles/PMC9107826/ /pubmed/35199691 http://dx.doi.org/10.31729/jnma.6933 Text en © The Author(s) 2018. https://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 use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Baral, Nischit
Montalbano, Andrea
Khan, Ashiya
Qureshi, Mehak
Luitel, Pankaj
Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_full Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_fullStr Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_full_unstemmed Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_short Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_sort silent myocardial infarction and acute multiorgan failure in a covid-19 patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107826/
https://www.ncbi.nlm.nih.gov/pubmed/35199691
http://dx.doi.org/10.31729/jnma.6933
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