• JNMA J Nepal Med Assoc · Oct 2021

    Case Reports

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

    • Nischit Baral, Andrea Montalbano, Ashiya Khan, Mehak Qureshi, and Pankaj Luitel.
    • Department of Internal Medicine, Mclaren Flint/Michigan State University College of Human Medicine, United States of America.
    • JNMA J Nepal Med Assoc. 2021 Oct 15; 59 (242): 104810511048-1051.

    AbstractSilent 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.

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