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10.1016/j.ajem.2020.10.028

http://scihub22266oqcxt.onion/10.1016/j.ajem.2020.10.028
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33153833!8084113!33153833
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suck abstract from ncbi


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pmid33153833      Am+J+Emerg+Med 2021 ; 43 (ä): 292.e1-292.e3
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  • Cardiogenic shock due to acute severe ischemic mitral regurgitation #MMPMID33153833
  • Briosa E Gala A; Hinton J; Sirohi R
  • Am J Emerg Med 2021[May]; 43 (ä): 292.e1-292.e3 PMID33153833show ga
  • The reduction in patients presenting with ST-elevation myocardial infarction (STEMI) during the COVID19 crisis could have resulted from fears about developing COVID-19 infection in hospital. Patients who delay presenting with STEMI are more likely to develop mechanical complications, including acute ischemic mitral regurgitation (MR). We present a 69-year-old women with an inferior STEMI and cardiogenic shock due to acute ischemic MR who delayed presenting to hospital due to the fear of COVID-19. Early identification of this mechanical complication using transthoracic echocardiography in the Emergency Department enabled the team to target her optimisation. Ultimately these patients require urgent surgery to repair the mitral valve and revascularize the myocardium but they are often too unwell to undergo surgery and even when it is feasible the outcomes are poor.
  • |*Pandemics[MESH]
  • |Acute Disease[MESH]
  • |Aged[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Comorbidity[MESH]
  • |Echocardiography, Doppler, Color[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Mitral Valve Insufficiency/*complications/diagnosis/epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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