Skip to main content Skip to main navigation menu Skip to site footer
Articles
Published: 2021-12-31

Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report

Department of Cardiology, HCG Hospitals, Ahmedabad-380006, Gujarat, India
Department of Cardiology, NHL Municipal Medical College, Ahmedabad-380006, Gujarat, India
Department of Cardiology, NHL Municipal Medical College, Ahmedabad-380006, Gujarat, India
ST-Segment Elevation Myocardial Infarction, Coronary Angiography, Coronavirus Disease 2019, Multiple Thrombi, Primary Angioplasty in Acute Myocardial Infarction, India

Abstract

Background: Multiple thrombi are likely to develop in Coronavirus Disease 2019 (COVID-19) patients. Hence, achieving successful outcomes following catheterization becomes quite challenging in such patients.

Case presentation: We report a challenging case of a 36-year-old female with ST-Segment Elevation Myocardial Infarction (STEMI). Coronary angiography revealed multiple irregularities in the coronary tree as well as thrombi. Although computed tomography imaging of the thorax was normal, reverse transcription-polymerase chain reaction (RT-PCR) confirmed the diagnosis of COVID-19. The outcome was good TIMI flow after a successful Primary Angioplasty in Acute Myocardial Infarction (PAMI), and the patient was isolated and then switched to oral anticoagulants (clopidogrel) for dual antiplatelet therapy (DAPT) therapy. 

Conclusion: This case emphasizes the management of a COVID-19 patient for PAMI.



Downloads

Download data is not yet available.


How to Cite

1.
Shah B, Shah H, Shah D. Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report. jidhealth [Internet]. 2021 Dec. 31 [cited 2022 Aug. 15];4(Special4):601-3. Available from: https://jidhealth.com/index.php/jidhealth/article/view/190