Coronavirus Disease 2019 (COVID-19) Manifestation as Acute Myocardial Infarction in a Young, Healthy Male.
Prerak V JuthaniRohan BhojwaniNeil GuptaPublished in: Case reports in infectious diseases (2020)
Although a large part of the symptomology of coronavirus disease 2019 (COVID-19) has been attributed to its effects in the lungs, the virus has also been shown to cause extensive cardiovascular complications in a small subset of patients. In this case report, we describe a 29-year-old nonobese hospital food service associate who presented with diffuse abdominal and chest pain; he was found to be positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with significantly elevated levels of troponin T and multiple acute phase reactants; his EKG demonstrated ST-elevations consistent with anterolateral infarction. Despite having no significant past medical history or atherosclerotic risk factors, he was found to have a complete occlusion of his left anterior descending artery that required cardiac catheterization. This case demonstrates that cardiovascular complications must be considered in the COVID-19 population, even without the clear presence of other risk factors for heart disease.
Keyphrases
- coronavirus disease
- respiratory syndrome coronavirus
- sars cov
- risk factors
- acute myocardial infarction
- healthcare
- end stage renal disease
- case report
- left ventricular
- ejection fraction
- chronic kidney disease
- newly diagnosed
- prognostic factors
- mental health
- peritoneal dialysis
- pulmonary hypertension
- emergency department
- heart failure
- percutaneous coronary intervention
- patient reported outcomes
- acute care