Delayed Presentation of STEMI Complicated by Ventricular Septal Rupture in the Era of COVID-19 Pandemic

Taha Ahmed, MD; Ashoka Nautiyal, MD; Samir Kapadia, MD; Steven E. Nissen, MD

JACC: Case Reports (Aug 2020)

Delayed Presentation of STEMI Complicated by Ventricular Septal Rupture in the Era of COVID-19 Pandemic

Taha Ahmed, MD,
Ashoka Nautiyal, MD,
Samir Kapadia, MD,
Steven E. Nissen, MD

Affiliations

Taha Ahmed, MD: Department of Internal Medicine, Cleveland Clinic Foundation (Fairview), Cleveland, Ohio; Address for correspondence: Dr. Taha Ahmed, Department of Internal Medicine, Cleveland Clinic Foundation (Fairview), 18101 Lorain Avenue, Cleveland, Ohio 44111.
Ashoka Nautiyal, MD: Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio
Samir Kapadia, MD: Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio
Steven E. Nissen, MD: Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio

Journal volume & issue: Vol. 2, no. 10
pp. 1599 – 1602

Abstract

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A significant concern in current coronavirus disease-2019 (COVID-19) pandemic era is delay in first medical contact in patients with ST-segment elevation myocardial infarction (STEMI), due to reluctance to visit the hospital. We report a case of delayed presentation of STEMI as ventricular septal rupture during the COVID-19 pandemic, a rare presentation in the current age of primary percutaneous coronary intervention. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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