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Article: STEMI associated with SARS-CoV-2 infection and the use of ECMO as a potential therapeutic approach in addition to the PCI.

Rahman, Tanvir / Alayo, Quazim A / Chaudhary, Sibgha G / Moghadam, Reihaneh C / German, Matthew L / Ettinger, Neil A / Leidenfrost, Jeremy E / Cranston-D'amato, Hope A / Rinder, Morton R / Donnelly, Julianne E

Oxford medical case reports

2021  Volume 2021, Issue 3, Page(s) omaa148

Abstract: ... of the proximal and mid-right coronary artery using the balloon angioplasty and drug-eluting stent was performed ... concerning for COVID-19 pneumonia. Electrocardiogram showed inferior and lateral ST-segment elevation ... of azithromycin and hydroxychloroquine was completed with no improvement overall. Patient received two doses ...

Abstract A 55-year-old male presented to the emergency department with the complaints of chest pain that started 4 h before presentation. Pain was located over the anterior chest, 5 out of 10 intensity, with radiation to the left arm. Chest x-ray on admission showed severe diffuse bilateral pulmonary infiltrates concerning for COVID-19 pneumonia. Electrocardiogram showed inferior and lateral ST-segment elevation compatible with acute inferolateral myocardial infarction. Successful percutaneous coronary intervention (PCI) of the proximal and mid-right coronary artery using the balloon angioplasty and drug-eluting stent was performed. Post-PCI stenosis was 0% with a thrombolysis in myocardial infarction (TIMI) flow of 3. Five-day course of azithromycin and hydroxychloroquine was completed with no improvement overall. Patient received two doses of 400 mg of tocilizumab intravenously on hospital days 5 (HD#5) and #6. The patient was proned, on FiO
Language English
Publishing date 2021-03-08
Publishing country England
Document type Case Reports
ZDB-ID 2766251-2
ISSN 2053-8855
ISSN 2053-8855
DOI 10.1093/omcr/omaa148
Database MEDical Literature Analysis and Retrieval System OnLINE

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