The Clot Thickens: COVID-19-Related ST-Elevation Myocardial Infarction in the Setting of Recent Boosters

Amar R Patel; Kunal Mishra; Andrew J Ortega; Avani R Patel; Fernando D Segovia; Ruben Montanez; Rakhee Makhija; Chanwit Roongsritong; Jorge C Borges

doi:10.7759/cureus.36814

The Clot Thickens: COVID-19-Related ST-Elevation Myocardial Infarction in the Setting of Recent Boosters

Cureus. 2023 Mar 28;15(3):e36814. doi: 10.7759/cureus.36814. eCollection 2023 Mar.

Authors

Amar R Patel¹, Kunal Mishra², Andrew J Ortega³, Avani R Patel⁴, Fernando D Segovia¹, Ruben Montanez¹, Rakhee Makhija⁵, Chanwit Roongsritong⁵, Jorge C Borges⁵

Affiliations

¹ Internal Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
² Vascular Medicine, University of Virginia, Charlottesville, USA.
³ Internal Medicine, Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, USA.
⁴ Internal Medicine, Meharry Medical College, Nashville, USA.
⁵ Cardiovascular Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.

Abstract

The coronavirus disease of 2019 (COVID-19) has an array of pathological effects that continue to be discovered. Vaccines against COVID-19 have quickly emerged as our main tool. However, the thrombotic risk of both the virus and the vaccine is yet to be established, let alone together. In this case report, we present a case involving a recently diagnosed COVID-19 patient who developed an ST-elevated myocardial infarction (STEMI) after receiving his booster shot. Our aim is to highlight the standard of treatment outcomes in COVID-19-associated clots, familiarize ourselves with the complexity of the clot burden in a COVID-19-associated STEMI, and illustrate the potential role of the cumulative pro-thrombotic effects of a recent COVID-19 booster with a concomitant symptomatic COVID-19 infection.

Keywords: coronavirus disease-2019 (covid-19); covid 19 induced thrombosis; covid-19 vaccine complication; pci (percutaneous coronary intervention); st elevated myocardial infarction (stemi).

Publication types

Case Reports