tetano
Editor, Senior Moderator
Cureus
. 2022 Sep 17;14(9):e29258.
doi: 10.7759/cureus.29258. eCollection 2022 Sep.
ST-Elevation Myocardial Infarction With Occluded Culprit Coronary Artery in a Young Patient Recovered From Mild COVID-19: A Case Report
Juan Manuel Muñoz Moreno[SUP] 1 [/SUP], Anthony Ramos-Yataco[SUP] 2 [/SUP], Erik Villanueva Garcia[SUP] 1 [/SUP], Carlos Holguin Palacios[SUP] 1 [/SUP], Gina Sánchez Sánchez[SUP] 3 [/SUP]
Affiliations
Abstract
ST-elevation myocardial infarction (STEMI) is a cardiovascular emergency that requires an early reperfusion strategy to reduce mortality and hemodynamic, mechanical, and electrical complications. STEMI is more frequent in men older than 40 years with well-known cardiovascular risk factors such as hypertension, diabetes mellitus, dyslipidemia, and smoking. The coronavirus disease 2019 (COVID-19) changed this reality worldwide due to the fact that STEMI cases associated with severe forms of COVID-19 began to be reported, which generally affected the older adult population; in contrast, there is still limited data on young healthy patients recovering from mild COVID-19. The exact mechanism behind the association remains unclear. We present a case of a healthy 29-year-old man with a history of mild COVID-19, diagnosed by reverse-transcription polymerase chain reaction 20 days before his admission with inferior STEMI. Coronary angiography revealed an occluded mid-right coronary artery, and he was successfully treated with a drug-eluting stent. The patient evolved favorably and was discharged on the fifth day of hospitalization.
Keywords: covid-19; drug-eluting stents; percutaneous coronary intervention; st elevation myocardial infarction; thrombosis.
. 2022 Sep 17;14(9):e29258.
doi: 10.7759/cureus.29258. eCollection 2022 Sep.
ST-Elevation Myocardial Infarction With Occluded Culprit Coronary Artery in a Young Patient Recovered From Mild COVID-19: A Case Report
Juan Manuel Muñoz Moreno[SUP] 1 [/SUP], Anthony Ramos-Yataco[SUP] 2 [/SUP], Erik Villanueva Garcia[SUP] 1 [/SUP], Carlos Holguin Palacios[SUP] 1 [/SUP], Gina Sánchez Sánchez[SUP] 3 [/SUP]
Affiliations
- PMID: 36262940
- PMCID: PMC9575619
- DOI: 10.7759/cureus.29258
Abstract
ST-elevation myocardial infarction (STEMI) is a cardiovascular emergency that requires an early reperfusion strategy to reduce mortality and hemodynamic, mechanical, and electrical complications. STEMI is more frequent in men older than 40 years with well-known cardiovascular risk factors such as hypertension, diabetes mellitus, dyslipidemia, and smoking. The coronavirus disease 2019 (COVID-19) changed this reality worldwide due to the fact that STEMI cases associated with severe forms of COVID-19 began to be reported, which generally affected the older adult population; in contrast, there is still limited data on young healthy patients recovering from mild COVID-19. The exact mechanism behind the association remains unclear. We present a case of a healthy 29-year-old man with a history of mild COVID-19, diagnosed by reverse-transcription polymerase chain reaction 20 days before his admission with inferior STEMI. Coronary angiography revealed an occluded mid-right coronary artery, and he was successfully treated with a drug-eluting stent. The patient evolved favorably and was discharged on the fifth day of hospitalization.
Keywords: covid-19; drug-eluting stents; percutaneous coronary intervention; st elevation myocardial infarction; thrombosis.