Zahoor Hovra, Aigbe Eboselumen, Hussain Aamir, Vankayala Hema
Internal Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.
Hematology and Oncology, National Institute of Health, Baltimore, USA.
Cureus. 2023 Feb 16;15(2):e35044. doi: 10.7759/cureus.35044. eCollection 2023 Feb.
Coronavirus disease 2019 (COVID-19) infection is a global health crisis resulting in significant morbidity and mortality. The presentation of COVID-19 infection is variable, ranging from an asymptomatic carrier state to multi-organ failure. While cases of COVID-related myocarditis and myocardial dysfunction are well reported, only a few cases of coronary artery thrombosis resulting in myocardial infarction are noted on literature review. However, the previously reported cases were in patients with high risk for coronary artery disease. We hereby report a case of a young man with no significant past medical history or cardiovascular risk factors who presented with severe chest pain and was diagnosed with acute myocardial infarction in the setting of COVID-19 infection requiring intervention. We want to report this case to improve awareness in the community about COVID-related arterial thrombosis and have a high index of suspicion for this regardless of the person's risk factors for cardiovascular diseases.
2019冠状病毒病(COVID-19)感染是一场全球健康危机,导致了严重的发病率和死亡率。COVID-19感染的表现多种多样,从无症状携带状态到多器官衰竭。虽然与COVID相关的心肌炎和心肌功能障碍的病例已有充分报道,但经文献回顾发现,仅有少数冠状动脉血栓形成导致心肌梗死的病例。然而,先前报道的病例均为冠状动脉疾病高危患者。我们在此报告一例年轻男性病例,该患者既往无重大病史或心血管危险因素,因COVID-19感染出现严重胸痛,被诊断为急性心肌梗死,需要进行干预。我们希望报告此病例,以提高社区对COVID相关动脉血栓形成的认识,并且无论患者有无心血管疾病危险因素,都要对此保持高度怀疑。