Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report

Authors

  • Nischit Baral Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America https://orcid.org/0000-0001-5349-7127
  • Andrea Montalbano Department of Internal Medicine, Michigan State University College of Human Medicine, United States of America
  • Ashiya Khan Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America
  • Mehak Qureshi Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America
  • Pankaj Luitel Department of Internal Medicine, AMITA Health/Saint Francis Hospital, United States of America

DOI:

https://doi.org/10.31729/jnma.6933

Keywords:

case reports, COVID-19, myocardial infraction, ST elevation myocardial infarction

Abstract

Silent myocardial infarction or unrecognized myocardial infarction has increased prevalence in elderly population with increased cardiovascular risk factors. However, its prevalence in COVID-19 patients is not well-known. A 77-year-old Caucasian male with COVID-19 pneumonia, presented with silent ST-segment elevation myocardial infarction, diabetic ketoacidosis and multiorgan failure. He underwent cardiac catheterization and drug eluting stent placement in the ostial right coronary artery with safety protocol. He was discharged to extended-care-facility in stable condition. This is a first case report of silent ST-segment elevation myocardial infarction in a patient presenting with COVID-19. In patients with COVID-19, acute myocardial infarction should be ruled out even when asymptomatic, especially in older patients. Prompt intervention using safety protocol is life-saving.

Additional Files

Published

2021-11-19

How to Cite

Baral, N., Montalbano, A., Khan, A., Qureshi, M., & Luitel, P. (2021). Silent Myocardial Infarction and Acute Multiorgan Failure in a COVID-19 Patient: A Case Report. Journal of Nepal Medical Association, 59(242), 1048–1051. https://doi.org/10.31729/jnma.6933

Issue

Vol. 59 No. 242 (2021): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2021 Nischit Baral, Andrea Montalbano, Ashiya Khan, Mehak Qureshi, Pankaj Luitel

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