Asunto(s)
Vacunas contra la COVID-19/efectos adversos , COVID-19/prevención & control , Miocarditis , SARS-CoV-2/metabolismo , Vacunación/efectos adversos , Vacuna nCoV-2019 mRNA-1273 , Adulto , COVID-19/sangre , COVID-19/diagnóstico por imagen , COVID-19/epidemiología , Vacunas contra la COVID-19/administración & dosificación , Humanos , Masculino , Miocarditis/sangre , Miocarditis/inducido químicamente , Miocarditis/diagnóstico por imagen , Miocarditis/fisiopatologíaRESUMEN
COVID-19 has varied cardiovascular manifestations including microvascular and macrovascular thrombi leading to multiorgan system injury and failure. This case describes a patient presenting with acute hypoxaemic respiratory failure from COVID-19 who abruptly developed a large thrombus in the right coronary artery leading to myocardial infarction. This case report reviews the ECG, heart catheterisation images prepercutaneous and postpercutaneous coronary intervention, critical care management and outcome in the context of the height of the COVID-19 pandemic in the Virginia area. A brief review of relevant literature regarding cardiovascular complications of COVID-19 is also provided. Unfortunately, the patient ultimately passed after 2 weeks of inability to wean off the ventilator.