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10.1093/omcr/omaa148

http://scihub22266oqcxt.onion/10.1093/omcr/omaa148
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33732477!7947272!33732477
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suck abstract from ncbi


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pmid33732477      Oxf+Med+Case+Reports 2021 ; 2021 (3): omaa148
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  • STEMI associated with SARS-CoV-2 infection and the use of ECMO as a potential therapeutic approach in addition to the PCI #MMPMID33732477
  • Rahman T; Alayo QA; Chaudhary SG; Moghadam RC; German ML; Ettinger NA; Leidenfrost JE; Cranston-D'amato HA; Rinder MR; Donnelly JE
  • Oxf Med Case Reports 2021[Mar]; 2021 (3): omaa148 PMID33732477show ga
  • A 55-year-old male presented to the emergency department with the complaints of chest pain that started 4 h before presentation. Pain was located over the anterior chest, 5 out of 10 intensity, with radiation to the left arm. Chest x-ray on admission showed severe diffuse bilateral pulmonary infiltrates concerning for COVID-19 pneumonia. Electrocardiogram showed inferior and lateral ST-segment elevation compatible with acute inferolateral myocardial infarction. Successful percutaneous coronary intervention (PCI) of the proximal and mid-right coronary artery using the balloon angioplasty and drug-eluting stent was performed. Post-PCI stenosis was 0% with a thrombolysis in myocardial infarction (TIMI) flow of 3. Five-day course of azithromycin and hydroxychloroquine was completed with no improvement overall. Patient received two doses of 400 mg of tocilizumab intravenously on hospital days 5 (HD#5) and #6. The patient was proned, on FiO(2) 100%, PEEP 15 cm H(2)O, on epoprostenol sodium and paralytics and eventually received venovenous ECMO, which improved outcome.
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