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10.1136/bcr-2021-243811

http://scihub22266oqcxt.onion/10.1136/bcr-2021-243811
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34433529!8388305!34433529
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suck abstract from ncbi


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pmid34433529      BMJ+Case+Rep 2021 ; 14 (8): ä
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  • Coronary artery thrombus resulting in ST-elevation myocardial infarction in a patient with COVID-19 #MMPMID34433529
  • Green C; Nadir A; Lester W; Dosanjh D
  • BMJ Case Rep 2021[Aug]; 14 (8): ä PMID34433529show ga
  • COVID-19 is a prothrombotic condition that is also associated with raised troponin levels and myocardial damage. We present a case of a 54-year-old man who was admitted with respiratory failure due to COVID-19 and developed a ST-elevation myocardial infarction (STEMI) during his admission. His coronary angiogram did not show any significant coronary artery disease other than a heavily thrombosed right coronary artery. In view of heavy thrombus burden, the right coronary artery was treated with thrombus retrieval using a distal embolic protection device in addition to manual thrombectomy and direct (intracoronary) thrombolysis without the need for implantation of a coronary stent. After successful revascularisation, triple antithrombotic therapy was instituted with an oral anticoagulant in addition to dual antiplatelets. This case illustrates the association of COVID-19 with coronary artery thrombosis, which may require disparate management of a STEMI than that resulting from atherosclerotic coronary artery disease.
  • |*COVID-19[MESH]
  • |*Coronary Thrombosis/complications/diagnostic imaging[MESH]
  • |*Myocardial Infarction/etiology[MESH]
  • |*ST Elevation Myocardial Infarction/etiology[MESH]
  • |Coronary Vessels[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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