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Atypical ST-Segment-Elevation Myocardial Infarction Presentation in Patients With COVID-19 at a High-Volume Center in New York City.
Alvarez Villela, Miguel A; Alkhalil, Ahmad; Weinreich, Michael A; Koslowsky, Jonathan; Aoi, Shunsuke; Latib, M Azeem.
  • Alvarez Villela MA; Department of Medicine, Montefiore Einstein Center for Heart and Vascular Care, Bronx, New York.
  • Alkhalil A; Department of Medicine, Montefiore Einstein Center for Heart and Vascular Care, Bronx, New York.
  • Weinreich MA; Department of Medicine, Montefiore Einstein Center for Heart and Vascular Care, Bronx, New York.
  • Koslowsky J; Department of Medicine, Montefiore Einstein Center for Heart and Vascular Care, Bronx, New York.
  • Aoi S; Department of Medicine, Montefiore Einstein Center for Heart and Vascular Care, Bronx, New York.
  • Latib MA; Department of Medicine, Montefiore Einstein Center for Heart and Vascular Care, Bronx, New York.
Tex Heart Inst J ; 48(5)2021 Nov 01.
Article in English | MEDLINE | ID: covidwho-1579718
ABSTRACT
Atypical presentations of ST-segment-elevation myocardial infarction (STEMI) have been reported in patients who have COVID-19. We have seen this occurrence in our center in Bronx, New York, where multitudes of patients sought treatment for the coronavirus. We studied the prevalence of atypical STEMI findings among patients with COVID-19 who presented during the first 2 months of the pandemic. Consistent with previous reports, 4 of our 10 patients with COVID-19 and STEMI had no identifiable culprit coronary lesion; rather, they often had diffuse ST-segment elevations on surface electrocardiograms along with higher levels of D-dimer and inflammatory markers. In contrast, 32 of 33 patients without COVID-19 (97%) had a culprit lesion. The patients with COVID-19 and a culprit lesion more often needed thrombectomy catheterization and administration of glycoprotein IIb/IIIa inhibitors. Our study confirms that patients with COVID-19 often have atypical STEMI presentations, including the frequent absence of a culprit coronary lesion. Our findings can help clinicians prepare for these atypical clinical presentations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: ST Elevation Myocardial Infarction / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: ST Elevation Myocardial Infarction / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Year: 2021 Document Type: Article