A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock.
Hong Nyun KimJang-Hoon LeeHun Sik ParkDong Heon YangSe Yong JangMyung Hwan BaeYongkeun ChoShung Chull ChaeYong Hoon LeePublished in: Journal of Korean medical science (2020)
A 60-year-old male patient with coronavirus disease-2019 showed new onset ST-segment elevation in V1-V2 leads on electrocardiogram and cardiac enzyme elevation in intensive care unit. He had a history of type 2 diabetes mellitus, hypertension, and dyslipidemia. He was receiving mechanical ventilation and veno-venous extracorporeal membrane oxygenation treatment for severe hypoxia. Two-D echocardiogram showed regional wall motion abnormalities. We performed primary percutaneous coronary intervention for acute myocardial infarction complicating cardiogenic shock under hemodynamic support. He expired on the 16th day of admission because of cardiogenic shock and multi-organ failure. Active surveillance and intensive treatment strategy are important for saving lives of COVID-19 patients with acute myocardial infarction.
Keyphrases
- acute myocardial infarction
- coronavirus disease
- extracorporeal membrane oxygenation
- percutaneous coronary intervention
- mechanical ventilation
- acute respiratory distress syndrome
- intensive care unit
- left ventricular
- st segment elevation myocardial infarction
- respiratory failure
- sars cov
- acute coronary syndrome
- coronary artery disease
- antiplatelet therapy
- st elevation myocardial infarction
- emergency department
- high resolution
- combination therapy
- mass spectrometry
- coronary artery bypass
- drug induced