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Management of a patient presenting with anterior STEMI with concomitant COVID-19 infection early in the course of the U.S. pandemic
Authors:Eric S Rothstein MD  Terrence D Welch MD  Bruce W Andrus MD  John E Jayne MD
Affiliation:Dartmouth-Hitchcock Medical Center Heart and Vascular Center, Geisel School of Medicine, Lebanon, New Hampshire, USA
Abstract:The coronavirus disease-2019 (COVID-19) is a viral illness with heterogenous clinical manifestations, ranging from mild symptoms to severe acute respiratory distress syndrome and shock caused by the severe acute respiratory syndrome coronavirus-2. The global healthcare community is rapidly learning more about the effects of COVID-19 on the cardiovascular system, as well as the strategies for management of infected patients with cardiovascular disease. There is minimal literature available surrounding the relationship between COVID-19 infection and acute coronary syndrome. We describe the case of a woman who presented with an acute anterior ST-elevation myocardial infarction managed by primary percutaneous coronary intervention, who subsequently developed severe COVID-19 infection and ultimately succumbed to multisystem organ failure.
Keywords:cytokine Storm  myocardial infarction  revascularization  SARS-CoV-2
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