A Unique Case of Acute Coronary Syndrome in a Patient With COVID-19 Infection

Cureus. 2021 Jun 14;13(6):e15650. doi: 10.7759/cureus.15650. eCollection 2021 Jun.

Abstract

The coronavirus pandemic has caused significant mortality and morbidity in just over a year of its course since the first case was identified in Wuhan, China in December 2019. The varied presenting symptoms of this enveloped positive-sense single-stranded RNA virus infection and the unknown surrounding the pathophysiology of the disease process have been extensively reported in the literature. In this case report, we present a coronavirus disease 2019 (COVID-19) positive patient who presented with chest pain, diagnosed with acute coronary syndrome. Interestingly, the patient was noted to have non-ST elevation myocardial infarction with cardiac catheterization showing coronary microthrombi rather than typical acute coronary thrombotic occlusive disease.

Keywords: covid 19; covid and cardiovascular complications; hyper coagulopathy; microthrombi; nste-acs.

Publication types

  • Case Reports