Abstract
Background
Severe acute respiratory syndrome coronavirus 2 induces a marked prothrombotic state with varied clinical presentations, including acute coronary artery occlusions leading to ST-elevation myocardial infarction (STEMI). However, while STEMI on electrocardiogram (ECG) is not always associated with acute coronary occlusion, this diagnostic uncertainty should not delay cardiac catheterization.
Case Reports
We present 2 cases of patients with COVID-19 that presented with STEMI on ECG. While both patients underwent cardiac catheterization, a delay in time to intervention in the patient found to have acute coronary artery occlusion may have contributed to a poor outcome.
Why Should an Emergency Physician Be Aware of This?
These cases highlight the fact that while not all COVID-19 patients with STEMI on ECG will have acute coronary artery occlusions, there is continued need for prompt percutaneous coronary intervention during the severe acute respiratory syndrome coronavirus 2 pandemic.
【저자키워드】 COVID-19, thrombosis, ST elevation myocardial infarction, 【초록키워드】 coronavirus, pandemic, diagnostic, Intervention, outcome, ECG, Patient, Myocardial infarction, Emergency, COVID-19 patient, Percutaneous coronary intervention, acute respiratory syndrome, Clinical presentations, report, physician, prothrombotic state, while, highlight, the patient, induce, contributed, catheterization, patients with COVID-19, 【제목키워드】 challenge, Elevation,