ST-elevation myocardial infarction in patients with Covid-19 -- A case series

Abstract

Choice of initial revascularization strategy is unclear in Covid-19 patients with acute ST-elevation myocardial infarction (STEMI). We present clinical, angiographic profile, and response to therapy in 09 covid-19 STEMI patients. STEMI was the initial presentation in 6 and developed in first-week of covid symptoms in 3 patients. D-dimer and C-reactive protein was raised in all. Right coronary artery was the most common culprit artery. Five patients underwent primary-PCI. Three out of 4 patients who underwent thrombolysis, required rescue-PCI. All 9 patients had high thrombus burden with total or near-total occlusion of culprit artery and 3 of them required thrombosuction.

Keywords

• ST-Elevation myocardial infarction
• Covid-19
• Revascularization