Abstract
Background
Thrombotic complications of COVID-19 infection have become increasingly apparent as the disease has infected a growing number of individuals. Although less common than upper respiratory symptoms, thrombotic complications are not infrequent and may result in severe and long-term sequelae. Common thrombotic complications include pulmonary embolism, cerebral infarction, or venous thromboembolism; less commonly seen are acute myocardial injury, renal artery thrombosis, and mesenteric ischemia. Several case reports and case series have described acute myocardial injury in patients with COVID-19 characterized by elevations in serum biomarkers.
Case report
Here, we report the first case to our knowledge of a patient with acute coronary syndrome confirmed on catheter angiography and cardiac MRI. This patient was found to additionally have a left ventricular thrombus and ultimately suffered an acute cerebral infarction. Recognition of thrombotic complications in the setting of COVID-19 infection is essential for initiating appropriate therapy.
Conclusions
In acute myocardial injury, given the different treatment strategies for myocarditis versus acute myocardial infarction secondary to coronary artery thrombus, imaging can play a key role in clinical decision making for patients.
【저자키워드】 COVID-19, thrombosis, Acute coronary syndrome, Cardiac MRI, 【초록키워드】 therapy, knowledge, Infection, MRI, Case report, myocardial injury, COVID-19 infection, myocarditis, Patient, Thrombus, serum biomarkers, patients, Ischemia, Acute myocardial infarction, treatment strategy, Infarction, upper respiratory symptoms, Recognition, Elevation, clinical decision, renal, complications of COVID-19, venous, thrombotic complication, common, described, include, the disease, case sery, characterized, less, suffered, individuals, increasingly, coronary syndrome, patients with COVID-19, ventricular, 【제목키워드】 Case report, Myocardial infarction,