Acute Myocardial Infarction Due to Microvascular Obstruction in a Young Woman Who Recently Recovered from COVID-19 Infection
Open Access
- 5 June 2021
- journal article
- case report
- Published by MDPI AG in Journal of Cardiovascular Development and Disease
- Vol. 8 (6), 66
- https://doi.org/10.3390/jcdd8060066
Abstract
Although cardiovascular complications are common in hospitalized COVID-19 patients, those with milder cases who recovered at home are less studied. Here, we report the case of a young woman who recently recovered from COVID-19 at home. A week after recovery, she was admitted to our institution with acute chest pain, signs of ischemia on the electrocardiogram and elevated cardiac troponins. Coronary angiography showed normal epicardial coronary arteries, but the cardiac magnetic resonance showed transmural late gadolinium enhancement (LGE) in the mid-ventricular level of the lateral wall. The findings were strongly suggestive of a minor transmural myocardial infarction. This case report highlights the role of multimodality imaging in detecting cardiac injury in COVID-19 patients as well as the fact that mild COVID-19 cases who recovered at home are also exposed to thromboembolic events during the convalescent period.Keywords
This publication has 10 references indexed in Scilit:
- Massive biventricular thrombi complicating new-onset heart failure in a patient with suspected COVID-19Journal of Cardiology Cases, 2021
- Microthrombi as a Major Cause of Cardiac Injury in COVID-19Journal of the American College of Cardiology, 2021
- Coronavirus disease 2019 and cardiovascular complications: focused clinical reviewJournal of Hypertension, 2021
- Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonanceEuropean Heart Journal, 2021
- COVID-19–Associated Nonocclusive Fibrin Microthrombi in the HeartJournal of the American College of Cardiology, 2021
- Statin Use and In‐Hospital Mortality in Patients With Diabetes Mellitus and COVID‐19Journal of the American Heart Association, 2020
- Coronary thrombosis in a young male with COVID-19IDCases, 2020
- Cerebral Venous Thrombosis Associated with COVID-19American Journal of Neuroradiology, 2020
- Concomitant acute aortic thrombosis and pulmonary embolism complicating COVID-19 pneumoniaDiagnostic and Interventional Imaging, 2020
- Life-threatening cardiac tamponade complicating myo-pericarditis in COVID-19European Heart Journal, 2020