scholarly journals Clinical Manifestation and Outcomes of Thrombolytic and Consevative Therapy in Covid-19 Patients with ST-Segment Elevation Pattern: A Case Series

2021 ◽  
Vol 2 (2) ◽  
pp. 73
Author(s):  
Raditya Rizki Muhammad ◽  
Nadya Anisah ◽  
Arief Bowo Kurniawan ◽  
Hairudi Hairudi
Keyword(s):  
Cardiovascular Diseases ◽  
Clinical Manifestation ◽  
Conservative Therapy ◽  
Clinical Manifestations ◽  
Case Series ◽  
Alternative Strategies ◽  
St Segment Elevation ◽  
Global Issues ◽  
St Segment ◽  
New Challenges

COVID-19 pandemic has become a global issues, especially involving cardiovascular diseases. The management of COVID-19 patients with ST-Segment elevation in early pandemic era faces new challenges. Challenges can occur in term of patient’s delay and healthcare safety. This case series discussed clinical manifestations, examination findings, alternative strategies including thrombolytic and conservative therapy, and patients’ outcomes.

Loeys-Dietz syndrome and isolated severe ostial left main coronary stenosis presenting as ventricular fibrillation arrest and biventricular takotsubo syndrome in a 25-year-old patient

2021 ◽  
Vol 14 (10) ◽  
pp. e245566
Author(s):  
Ahmed Gargoum ◽  
Idris Bare ◽  
Christopher Pekrul ◽  
Shravan Nosib
Keyword(s):  
Coronary Artery ◽  
Ventricular Fibrillation ◽  
Transforming Growth Factor ◽  
Case Series ◽  
Takotsubo Syndrome ◽  
Left Main ◽  
Genetic Studies ◽  
St Segment Elevation ◽  
St Segment ◽  
Coronary Syndromes

We present the case of a previously healthy 25-year-old woman who presented with an out-of-hospital ventricular fibrillation arrest. Postresuscitation ECG did not show any evidence of ST segment elevation. Echocardiogram showed regional wall abnormalities in keeping with takotsubo syndrome (TTS). Urgent coronary angiogram to rule out malignant congenital coronary artery anomaly revealed an isolated severe ostial left main coronary artery (LMCA) stenosis, a rare disease, approximately 0.2% in previous case series. The LMCA was aneurysmal. Genetic studies revealed a novel frameshift pathogenic variant in the transforming growth factor B two ligand gene (TGFB2) gene, suggestive of Loeys-Dietz syndrome (LDS) type 4, an aggressive vascular disease. Ostial LMCA stenosis has not been previously reported in LDS, and we outline the management of this unique disease combination. We also reflect on its presentation as TTS and infer that TTS and acute coronary syndromes are not mutually exclusive.

scholarly journals Type A Aortic Dissection Masquerading as an Inferior Myocardial Infarction

Aorta ◽  
2021 ◽  
Vol 09 (05) ◽  
pp. 184-185
Author(s):  
Azhar Hussain ◽  
Alessia Rossi ◽  
Alexander Smith ◽  
Ana Lopez-Marco ◽  
Amina Khalil ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Aortic Dissection ◽  
Clinical Manifestations ◽  
Type A ◽  
Type A Aortic Dissection ◽  
St Segment Elevation ◽  
Presenting Symptoms ◽  
St Segment ◽  
Wide Range ◽  
Threatening Condition

AbstractType A aortic dissection is a life-threatening condition with a wide range of clinical manifestations. Dissection can sometimes mimic an acute myocardial infarction due to similar presenting symptoms and initial clinical investigations. We report the case of a 52-year-old male who presented with an inferior ST-segment elevation myocardial infarction with two drug-eluting stents inserted as a stabilizing intervention prior to surgical repair of an acute aortic dissection.

scholarly journals Transient appearance of Brugada-like Type 1 electrocardiogram pattern immediately after biphasic synchronized electrical cardioversion for atrial fibrillation: a case series

2019 ◽  
Author(s):  
Khalid A S Abdalla ◽  
Antonio Sorgente ◽  
Pedro Brugada
Keyword(s):  
Atrial Fibrillation ◽  
Safety Issue ◽  
Case Series ◽  
Electrical Cardioversion ◽  
Common Finding ◽  
St Segment Elevation ◽  
Case Summary ◽  
St Segment ◽  
Number Of Patients

Abstract Background ST-segment deviation post-electrical cardioversion is a common finding amongst a significant number of patients. However, the mechanism by which this phenomenon occurs and its clinical implications are not fully understood. Case summary Four patients presented to our department with complaints of palpitations. They were found to have atrial fibrillation and were cardioverted using a synchronized direct current shock at 200 J. However, their telemetry immediately after the shock showed transiently an ST-segment elevation resembling Brugada Type 1 pattern. All telemetries normalized within 6 s from cardioversion. Discussion Through this report, we aim to raise mild concern about a possible safety issue related to synchronized electrical cardioversion with electrodes positioned in an anteroposterior fashion. Also, we try to give a pathophysiological explanation to this finding on the base of the knowledge accumulated through the years on Brugada syndrome.

scholarly journals Pre-hospital attitudes adopted by patients faced with the symptoms of acute myocardial infarction

2011 ◽  
Vol 19 (5) ◽  
pp. 1080-1087 ◽  
Author(s):  
Viviane de Araújo Gouveia ◽  
Edgar Guimarães Victor ◽  
Sandro Gonçalves de Lima
Keyword(s):  
Myocardial Infarction ◽  
Cardiovascular Disease ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Case Series ◽  
Socioeconomic Conditions ◽  
Chi Square ◽  
St Segment Elevation ◽  
St Segment ◽  
Respiratory Apparatus

This case series aimed to evaluate the behavior adopted by patients during the pre-hospital phase of acute myocardial infarction (AMI). A total of 115 AMI sufferers with ST-segment elevation were evaluated. The chi-square and Fisher's exact tests were applied. The individuals that did not associate the symptoms with cardiovascular disease most often attributed them to the following sources: gastrointestinal (38%), musculoskeletal (29.7%), food and/or medication poisoning (8.5%) and arising from the respiratory apparatus (6.3%). The proportion of major outcomes and of patients that arrived in the emergency department after 12 hours was higher among women, individuals with monthly income of up to one minimum wage, those who used analgesics and did not associate the symptoms with cardiovascular disease. It was found that individuals in unfavorable socioeconomic conditions, who interpreted the symptoms incorrectly, arrived later at the emergency department and had worse intra-hospital outcomes.

scholarly journals ST-segment elevation in patients presenting with COVID-19: case series

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Mehrdad Saririan ◽  
Richard Armstrong ◽  
Jon C George ◽  
Bartosz Olechowski ◽  
Stephen O’Connor ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Case Series ◽  
Signs And Symptoms ◽  
Coronary Artery Occlusion ◽  
Systematic Investigation ◽  
Artery Occlusion ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Case Summary ◽  
St Segment

Abstract Background  The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the now pandemic disease, coronavirus disease (COVID-19). A number of reports have emerged suggesting these patients may present with signs and symptoms consistent with ST-segment elevation myocardial infarction without coronary artery occlusion. Case summary  We report an international case series of patients with confirmed COVID-19 infection who presented with suspected ST-segment elevation myocardial infarction. Three patients with confirmed COVID-19 presented with electrocardiogram criteria for ST-segment elevation myocardial infarction. No patient had obstructive coronary disease at coronary angiography. Post-mortem histology in one case demonstrated myocardial ischaemia in the absence of coronary atherothrombosis or myocarditis. Discussion  Patients with COVID-19 may present with features consistent with ST-segment elevation myocardial infarction and patent coronary arteries. The prevalence and clinical outcomes of this condition require systematic investigation in consecutive unselected patients.

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