https://doi.org/10.4081/monaldi.2021.1668
Apparently normal epicardial coronaries in a patient with inferior wall myocardial infarction on the background of mild coronavirus disease-2019: take a second look!
Submitted: November 7, 2020
Accepted: March 4, 2021
Published: April 6, 2021
Accepted: March 4, 2021
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Publisher's note
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The coronary angiographic (CAG) findings of ST elevation myocardial infarction (STEMI) in patients of coronavirus disease 2019 (COVID-19) range from increased coronary artery thrombus burden to normal coronaries due to STEMI mimics. Here we report the case of a 45-year-old gentleman who presented with evolved inferior wall myocardial infarction with ongoing angina along with mild COVID-19. CAG showed normal epicardial coronaries except for distal right posterior descending coronary artery (RPDA) 100% occlusion on careful examination. He was treated for the myocardial infarction with medical management along with treatment of COVID-19. The importance of our case is to highlight the possibility of distal total occlusion of small coronary branches which may be missed if not carefully looked for as a normal CAG in COVID-19 patient will require only supportive therapy, while the finding of distal 100% occlusion of RPDA deemed us to prescribe optimal medical therapy as per acute myocardial infarction protocol along with treatment for COVID-19.
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How to Cite
Kumar, Barun, Ashwin Kodliwadmath, Amar Upadhyay, Anupam Singh, and Nanda N. 2021. “Apparently Normal Epicardial Coronaries in a Patient With Inferior Wall Myocardial Infarction on the Background of Mild Coronavirus Disease-2019: Take a Second Look!”. Monaldi Archives for Chest Disease 91 (3). https://doi.org/10.4081/monaldi.2021.1668.
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