{"title":"ST-elevation myocardial infarction in patients with Covid-19 -- A case series","authors":"Amitabh Poonia , Priya Giridhara , Yogendra Kumar Arora , Vinod Sharma","doi":"10.1016/j.ihjccr.2021.10.005","DOIUrl":null,"url":null,"abstract":"<div><p>Choice of initial revascularization strategy is unclear in Covid-19 patients with acute ST-elevation myocardial infarction (STEMI). We present clinical, angiographic profile, and response to therapy in 09 covid-19 STEMI patients. STEMI was the initial presentation in 6 and developed in first-week of covid symptoms in 3 patients. D-dimer and C-reactive protein was raised in all. Right coronary artery was the most common culprit artery. Five patients underwent primary-PCI. Three out of 4 patients who underwent thrombolysis, required rescue-PCI. All 9 patients had high thrombus burden with total or near-total occlusion of culprit artery and 3 of them required thrombosuction.</p></div>","PeriodicalId":100653,"journal":{"name":"IHJ Cardiovascular Case Reports (CVCR)","volume":"5 3","pages":"Pages 142-144"},"PeriodicalIF":0.0000,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468600X21000402/pdfft?md5=d39015fc2fff68223fb34b8dfe3d7c0d&pid=1-s2.0-S2468600X21000402-main.pdf","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"IHJ Cardiovascular Case Reports (CVCR)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468600X21000402","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
Choice of initial revascularization strategy is unclear in Covid-19 patients with acute ST-elevation myocardial infarction (STEMI). We present clinical, angiographic profile, and response to therapy in 09 covid-19 STEMI patients. STEMI was the initial presentation in 6 and developed in first-week of covid symptoms in 3 patients. D-dimer and C-reactive protein was raised in all. Right coronary artery was the most common culprit artery. Five patients underwent primary-PCI. Three out of 4 patients who underwent thrombolysis, required rescue-PCI. All 9 patients had high thrombus burden with total or near-total occlusion of culprit artery and 3 of them required thrombosuction.
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