TY - JOUR AU - Shah, Bhupesh AU - Shah, Harshal AU - Shah, Darshil PY - 2021/12/31 Y2 - 2024/03/28 TI - Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report JF - Journal of Ideas in Health JA - jidhealth VL - 4 IS - Special4 SE - Articles DO - 10.47108/jidhealth.Vol4.Iss4.190 UR - https://jidhealth.com/index.php/jidhealth/article/view/190 SP - 601-603 AB - <p><strong>Background:</strong> 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.</p><p><strong>Case presentation:</strong> 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.&nbsp;</p><p><strong>Conclusion:</strong> This case emphasizes the management of a COVID-19 patient for PAMI.</p> ER -