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10.1002/ccd.29179

http://scihub22266oqcxt.onion/10.1002/ccd.29179
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32767631!7436575!32767631
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suck abstract from ncbi


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pmid32767631      Catheter+Cardiovasc+Interv 2021 ; 97 (2): 272-277
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  • Acute myocardial infarction and large coronary thrombosis in a patient with COVID-19 #MMPMID32767631
  • Tedeschi D; Rizzi A; Biscaglia S; Tumscitz C
  • Catheter Cardiovasc Interv 2021[Feb]; 97 (2): 272-277 PMID32767631show ga
  • This is a case report of a 60-year-old male, without any cardiovascular risk factor and no cardiac history admitted to hospital with a diagnosis of interstitial pneumonia caused by coronavirus disease 2019 (COVID-19). After 7 days, the blood tests showed a significant rise of inflammatory and procoagulant markers, along with a relevant elevation of high-sensitivity Troponin I. Electrocardiogram and transthoracic echocardiogram (TTE) were consistent with a diagnosis of infero-posterolateral acute myocardial infarction and the patient was transferred to the isolated Cath Lab for primary percutaneous coronary intervention (PCI). The angiography showed an acute massive thrombosis of a dominant right coronary artery without clear evidence of atherosclerosis. Despite the optimal pharmacological therapies and different PCI techniques, the final TIMI flow was 0/1 and after 3 hr the clinical condition evolved in cardiac arrest for pulseless electric activity. Acute coronary syndrome-ST-elevation myocardial infarction is a relevant complication of COVID-19. Due to high levels of proinflammatory mediators, diffuse coronary thrombosis could occur even in patients without cardiac history or comorbidities. This clinical case suggests that coronary thrombosis in COVID-19 patients may be unresponsive to optimal pharmacological (GP IIb-IIIa infusion) and mechanical treatment (PCI).
  • |COVID-19/*complications/diagnosis/therapy[MESH]
  • |Coronary Angiography[MESH]
  • |Coronary Thrombosis/diagnosis/*therapy/*virology[MESH]
  • |Echocardiography[MESH]
  • |Electrocardiography[MESH]
  • |Eptifibatide/therapeutic use[MESH]
  • |Fatal Outcome[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Myocardial Infarction/diagnosis/*therapy/*virology[MESH]
  • |Percutaneous Coronary Intervention[MESH]


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