Tuaima Tareq, Kinsara Abdulhalim J, Alrajawi Amtalkhaliq, Allam Hassan H, Alfakih Shadwan
King Abdullah Medical Complex, Ministry of Health, Jeddah, Saudi Arabia.
Ministry of National Guard-Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
Eur J Case Rep Intern Med. 2020 Sep 7;7(10):001913. doi: 10.12890/2020_001913. eCollection 2020.
The effect of COVID-19 on the cardiovascular system still needs to be clarified. Patients can develop a spectrum of cardiac diseases, from mild myocarditis to acute coronary syndrome with an impaired systolic fraction. We describe an interesting case of transient ST segment elevation in a COVID-19 patient admitted to ICU for severe respiratory distress syndrome. During his stay in ICU, the patient developed transient ST segment elevation in inferior-lateral leads which promptly resolved without requiring any additional invasive and/or pharmacological treatment. Transthoracic echocardiography showed a preserved ejection fraction without any regional abnormalities and the rise in enzyme biomarkers was insignificant. The case highlights the importance of avoiding invasive procedures in this subset of patients to reduce both patient complications and medical staff exposure. Careful evaluation including echocardiogram and second-line examinations should be performed before invasive and aggressive treatment is undertaken.
Transient ST elevation may occur in critically ill COVID-19 patients.Early recognition is important to avoid unnecessary intervention or thrombolytic therapy.
新型冠状病毒肺炎（COVID-19）对心血管系统的影响仍有待阐明。患者可能会出现一系列心脏疾病，从轻度心肌炎到收缩分数受损的急性冠状动脉综合征。我们描述了一例因严重呼吸窘迫综合征入住重症监护病房（ICU）的COVID-19患者出现短暂性ST段抬高的有趣病例。在其入住ICU期间，患者下侧壁导联出现短暂性ST段抬高，无需任何额外的侵入性和/或药物治疗即可迅速缓解。经胸超声心动图显示射血分数正常，无任何局部异常，酶生物标志物升高不明显。该病例强调了在这类患者中避免侵入性操作以减少患者并发症和医护人员暴露的重要性。在进行侵入性和积极治疗之前，应进行包括超声心动图和二线检查在内的仔细评估。
危重症COVID-19患者可能出现短暂性ST段抬高。早期识别对于避免不必要的干预或溶栓治疗很重要。
