Roma Nicholas, Shah Kashyap, Ferraro Bruce, Durkin Matthew, Krinock Matthew, Durkin Michael
Internal Medicine, St. Luke's University Health Network, Bethlehem, USA.
Cardiology, St. Luke's University Health Network, Bethlehem, USA.
Cureus. 2023 Jan 9;15(1):e33527. doi: 10.7759/cureus.33527. eCollection 2023 Jan.
Acute coronary syndrome (ACS) is an increasingly common finding among patients presenting with Coronavirus Disease 2019 (COVID-19) pneumonia. While cardiovascular disease alone remains one of the most common causes of death among COVID-19 patients in the United States, its heightened prevalence with COVID-19 pneumonia has been well documented. Here we present the case of a 58-year-old male with an extensive cardiac history including coronary artery disease (CAD) with multiple drug-eluting stents (DES) placed and an episode of cardiac arrest requiring implantable cardioverter defibrillator (ICD) placement. He presented to the Emergency Department originally complaining of chest pain, shortness of breath, and fatigue, and was found to be positive for COVID-19 pneumonia. Cardiac catheterization demonstrated extensive CAD and evaluation for coronary artery bypass grafting (CABG) was warranted. Shortly after, the patient experienced an acute thrombotic episode in the left anterior descending (LAD) coronary artery and underwent successful emergent high-risk percutaneous coronary intervention (PCI) with DES placement. The patient was also found to have a left ventricular thrombus requiring anticoagulation. Despite his complex course, the patient had a very favorable outcome.
急性冠状动脉综合征（ACS）在患有2019冠状病毒病（COVID-19）肺炎的患者中越来越常见。在美国，仅心血管疾病仍是COVID-19患者中最常见的死亡原因之一，其与COVID-19肺炎的高患病率已有充分记录。在此，我们介绍一例58岁男性病例，他有广泛的心脏病史，包括冠状动脉疾病（CAD），已植入多个药物洗脱支架（DES），并有一次心脏骤停发作，需要植入植入式心脏复律除颤器（ICD）。他最初因胸痛、呼吸急促和疲劳就诊于急诊科，被发现COVID-19肺炎检测呈阳性。心脏导管检查显示广泛的CAD，有必要对冠状动脉旁路移植术（CABG）进行评估。不久之后，患者在左前降支（LAD）冠状动脉发生急性血栓形成事件，并成功接受了紧急高危经皮冠状动脉介入治疗（PCI）并植入DES。患者还被发现有左心室血栓，需要抗凝治疗。尽管病程复杂，但患者预后非常良好。
