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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Oxf+Med+Case+Reports 2021 ; 2021 (3): omaa148 Nephropedia Template TP
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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.