In:
Cardiology Research and Reports, Auctores Publishing LLC, Vol. 3, No. 2 ( 2021-05-10), p. 01-04
Abstract:
A 62-year-old man presented at the height of the first wave of the coronavirus disease 2019 (COVID-19) pandemic with hypoxia, multi-organ failure and haemodynamic instability. The electrocardiogram and echocardiogram were indicative of inferolateral ST segment elevation myocardial infarction. His hypoxia was initially thought to be driven by acute pulmonary oedema due to cardiac failure, but this was out-of-proportion to his left-ventricular function. This aroused suspicion of COVID-19 which he subsequently tested positive for. He was not deemed to be candidate for primary percutaneous intervention, intubation or mechanical ventilation; a difficult decision to make in a previously healthy, young patient. Clinical decisions were complicated by late presentation and hospital pressures related to the pandemic. Similar clinical scenarios are likely as we move into the next stages of the pandemic. Establishing clinical frameworks to help clinicians make these decisions, and identifying barriers to healthcare attendance, may be priorities for policy-makers.
Type of Medium:
Online Resource
ISSN:
2692-9759
Uniform Title:
COVID-19 pneumonitis induced myocardial infarction and multi-organ failure: an ethical and clinical challenge
DOI:
10.31579/2692-9759/02.2021
DOI:
10.31579/2692-9759/2020
DOI:
10.31579/2692-9759/018
Language:
Unknown
Publisher:
Auctores Publishing LLC
Publication Date:
2021
Permalink
