Cardiogenic shock due to acute severe ischemic mitral regurgitation.
Am J Emerg Med
; 43: 292.e1-292.e3, 2021 May.
Article
in English
| MEDLINE | ID: covidwho-893417
ABSTRACT
The reduction in patients presenting with ST-elevation myocardial infarction (STEMI) during the COVID19 crisis could have resulted from fears about developing COVID-19 infection in hospital. Patients who delay presenting with STEMI are more likely to develop mechanical complications, including acute ischemic mitral regurgitation (MR). We present a 69-year-old women with an inferior STEMI and cardiogenic shock due to acute ischemic MR who delayed presenting to hospital due to the fear of COVID-19. Early identification of this mechanical complication using transthoracic echocardiography in the Emergency Department enabled the team to target her optimisation. Ultimately these patients require urgent surgery to repair the mitral valve and revascularize the myocardium but they are often too unwell to undergo surgery and even when it is feasible the outcomes are poor.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Shock, Cardiogenic
/
Pandemics
/
COVID-19
/
Mitral Valve Insufficiency
Type of study:
Case report
/
Diagnostic study
/
Observational study
/
Prognostic study
Topics:
Long Covid
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Am J Emerg Med
Year:
2021
Document Type:
Article
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