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Covid-19 Presenting As Acute St-Elevation Myocardial Infarction: A Case Report

Vol VI Issue I
DOI: 10.5083/ejcm20424884.183 , Cite or Link Using DOI
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Muhammad Zubair Zaffar, Dr. Ammar Akhtar, Hamza Ghafoor

ABSTRACT

Although patients with COVID-19 infection usually present with respiratory symptoms; however, the development of cardiovascular complications either during the course of the disease or as a presenting symptom is rare but not uncommon. Hereby, we report a case that presented to a specialized cardiac center as acute ST-elevation myocardial infarction, treated with primary percutaneous coronary intervention but later diagnosed to be positive for COVID-19.

INTRODUCTION

Since the origin of acute respiratory syndrome corona virus-2 (SARS-CoV-2) in China, it has spread to 209 countries around the globe becoming a pandemic1 . Features of respiratory illness are the most common presentations associated with this viral infection2 ; however, rarely do the COVID-19 patients present with acute ST-elevation myocardial infarction (STEMI). The first reported case of COVID-19 presenting as acute STEMI was reported by Siddamreddy et al.2 . STEMI could be due to systemic inflammatory response syndrome causing either plaque rupture or thrombus formation3 . Hereby, we present a case of acute anterolateral wall ST-elevation myocardial infarction which later proved to be due to COVID-19.