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


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Bhupesh Shah Harshal Shah Darshil Shah

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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.




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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]. 31Dec.2021 [cited 27Jan.2022];4(4):601-3. Available from: https://jidhealth.com/index.php/jidhealth/article/view/190
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