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Case Reports
. 2020 Jul 15;2(9):1284-1288.
doi: 10.1016/j.jaccas.2020.04.015. Epub 2020 Apr 27.

Pseudo-Acute Myocardial Infarction in a Young COVID-19 Patient

Catalin Loghin  1 , Siddharth Chauhan  1 , Sean M Lawless  1
Affiliations
Case Reports

Pseudo-Acute Myocardial Infarction in a Young COVID-19 Patient

Catalin Loghin et al. JACC Case Rep. .

Abstract

A 29-year-old man tested positive for COVID-19 and developed acute respiratory distress syndrome. While mechanically ventilated, his electrocardiogram showed inferior ST-segment elevations, with normal serial cardiac troponin I and transthoracic echocardiograms. He was treated conservatively, with complete clinical recovery and resolution of his electrocardiographic abnormalities. (Level of Difficulty: Beginner.).

Keywords: COVID-19; COVID-19, coronavirus disease-2019; CT, computed tomography; CVD, cardiovascular disease; ECG, electrocardiogram; ST-segment elevation; acute myocardial infarction; cTnI, cardiac troponin I; myocardial injury.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Initial Electrocardiogram The electrocardiogram shows sinus tachycardia of 112 beats/min and marked QRS right axis deviation of 127°.
Figure 2
Figure 2
Electrocardiogram After 48 h of Mechanical Ventilation The electrocardiogram shows sinus tachycardia of 107 beats/min and marked ST-segment elevation in leads II, III, avF, and V6.
Figure 3
Figure 3
Follow-Up Electrocardiogram The electrocardiogram shows sinus rhythm of 77 beats/min, normalization of the QRS axis at 7°, and nearly complete resolution of ST-segment elevation.
See this image and copyright information in PMC

Comment in

References

    1. Bonow R.O., Fonarow G.C., O’Gara P.T. Association of coronavirus disease 2019 (COVID-19) with myocardial injury and mortality. JAMA Cardiol. 2020 Mar 27 [E-pub ahead of print] - PubMed
    1. Wang D., Hu B., Hu C. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323:1061–1069. - PMC - PubMed
    1. Zhou F., Yu T., Du R. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:1054–1062. - PMC - PubMed
    1. Yang V., Jin Z. An acute respiratory infection runs into the most common noncommunicable epidemic—COVID-19 and cardiovascular diseases. JAMA Cardiol. 2020 Mar 25 [E-pub ahead of print] - PubMed
    1. Shi S., Qin M., Shen B. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China. JAMA Cardiol. 2020:e200950. - PMC - PubMed

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