COVID-19 with non-obstructive coronary artery disease in a young adult

Abu Baker Sheikh; Zainab Ijaz; Nismat Javed; Shubhra Upadyay; Rahul Shekhar

doi:10.1080/20009666.2020.1845928

COVID-19 with non-obstructive coronary artery disease in a young adult

J Community Hosp Intern Med Perspect. 2021 Jan 26;11(1):111-114. doi: 10.1080/20009666.2020.1845928.

Authors

Abu Baker Sheikh¹, Zainab Ijaz², Nismat Javed³, Shubhra Upadyay¹, Rahul Shekhar⁴

Affiliations

¹ Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
² Department of Internal Medicine, Windsor University School of Medicine, Canyon St. Kitts, Jamaica.
³ Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
⁴ Department of Internal Medicine, Division of Hospital Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.

Abstract

Systemic inflammatory response due to cytokine storm in severe COVID-19 cases can lead to acute myocardial infarction, also affecting the younger population, without significant risk factors. We present the case of a 36-year-old male with morbid obesity and well-controlled asthma who had developed COVID-19-induced acute respiratory distress syndrome requiring mechanical ventilation and, subsequently, extracorporeal membrane oxygenation (ECMO) who developed myocardial infarction on Day 10 of admission and died on Day 15 of admission due to sequelae of severe COVID-19 infection. In young patients with COVID-19-induced respiratory infection, severe inflammatory response can lead to acute coronary syndrome in absence of obstructive lesions or plaque ruptures.

Keywords: COVID-19; STEMI; complications; young.

Publication types

Case Reports

Grants and funding

The authors received no financial support for the research, authorship, and/or publication of this article.