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Case Reports
. 2021 Feb 15;97(3):E339-E342.
doi: 10.1002/ccd.28974. Epub 2020 May 30.

SARS-COV-2 infection presenting as ST-elevationmyocardial infarction

Francesco Castagna  1 , Roberto Cerrud-Rodriguez  1 , Miguel Alvarez Villela  1 , Anna E Bortnick  1
Affiliations
Case Reports

SARS-COV-2 infection presenting as ST-elevationmyocardial infarction

Francesco Castagna et al. Catheter Cardiovasc Interv. .

Abstract

We describe a patient presenting with chest discomfort, anterolateral ST elevation, and developing acute cardiogenic shock secondary to SARS-COV-2infection-patient zero presenting to our institution's cardiac catheterization laboratory. The emergent presentation with limited clinical information led to exposure of personnel. The diagnosis was complicated by two negative tests for SARS-COV-2, and high-clinical suspicion from the patient's occupational history led to additional testing in order to confirm the diagnosis.

Keywords: acute myocardial infarction/STEMI; angiography, coronary; cardiomyopathy.

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Conflict of interest statement

AEB has served as site PI for multi‐center trials funded by Abbott and CSL‐Behring, for which her institution received compensation, and received an honorarium from ClearView Healthcare, LLC. AEB acknowledges support from an AHA Mentored and Clinical Population Award 17MCPRP33630098 and a K23 HL146982 from the NIH National Heart, Lung and Blood Institute.

Figures

FIGURE 1
FIGURE 1
(a) Presenting 12‐lead EKG with anterolateral ST elevation and reciprocal inferior depression. (b, c) Coronary angiogram showing widely patent coronary arteries. (d) Computed tomography of the chest demonstrating perihilar groundglass opacities, thickening of interlobular septa, and minimal bilateral pleural effusions
See this image and copyright information in PMC

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