Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report

Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent S...

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Autores principales: Nischit Baral, Andrea Montalbano, Ashiya Khan, Mehak Qureshi, Pankaj Luitel
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Lenguaje:EN
Publicado: Nepal Medical Association 2021
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spelling oai:doaj.org-article:1d049138ae7144359a7440c7fae997152021-11-07T19:11:42ZSilent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report10.31729/jnma.69330028-27151815-672Xhttps://doaj.org/article/1d049138ae7144359a7440c7fae997152021-10-01T00:00:00Zhttps://www.jnma.com.np/jnma/index.php/jnma/article/view/6933https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST-segment elevation myocardial infarction, diabetic ketoacidosis and multiorgan failure. He underwent cardiac catheterization and drug eluting stent placement in the ostial right coronary artery with safety protocol. He was discharged to extended-care-facility in stable condition. This is a first case report of silent ST-segment elevation myocardial infarction in a patient presenting with COVID-19. In patients with COVID-19, acute myocardial infarction should be ruled out even when asymptomatic, especially in older patients. Prompt intervention using safety protocol is life-saving. Nischit BaralAndrea MontalbanoAshiya KhanMehak QureshiPankaj LuitelNepal Medical Associationarticlecase reportsCOVID-19myocardial infractionST elevation myocardial infarctionMedicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 242 (2021)
institution DOAJ
collection DOAJ
language EN
topic case reports
COVID-19
myocardial infraction
ST elevation myocardial infarction
Medicine (General)
R5-920
spellingShingle case reports
COVID-19
myocardial infraction
ST elevation myocardial infarction
Medicine (General)
R5-920
Nischit Baral
Andrea Montalbano
Ashiya Khan
Mehak Qureshi
Pankaj Luitel
Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
description Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST-segment elevation myocardial infarction, diabetic ketoacidosis and multiorgan failure. He underwent cardiac catheterization and drug eluting stent placement in the ostial right coronary artery with safety protocol. He was discharged to extended-care-facility in stable condition. This is a first case report of silent ST-segment elevation myocardial infarction in a patient presenting with COVID-19. In patients with COVID-19, acute myocardial infarction should be ruled out even when asymptomatic, especially in older patients. Prompt intervention using safety protocol is life-saving.
format article
author Nischit Baral
Andrea Montalbano
Ashiya Khan
Mehak Qureshi
Pankaj Luitel
author_facet Nischit Baral
Andrea Montalbano
Ashiya Khan
Mehak Qureshi
Pankaj Luitel
author_sort Nischit Baral
title Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_short Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_full Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_fullStr Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_full_unstemmed Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report
title_sort silent myocardial infarction and acute multiorgan failure in a covid-19 patient: a case report
publisher Nepal Medical Association
publishDate 2021
url https://doaj.org/article/1d049138ae7144359a7440c7fae99715
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AT andreamontalbano silentmyocardialinfarctionandacutemultiorganfailureinacovid19patientacasereport
AT ashiyakhan silentmyocardialinfarctionandacutemultiorganfailureinacovid19patientacasereport
AT mehakqureshi silentmyocardialinfarctionandacutemultiorganfailureinacovid19patientacasereport
AT pankajluitel silentmyocardialinfarctionandacutemultiorganfailureinacovid19patientacasereport
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