J Korean Med Sci.  2020 Jul;35(27):e258. 10.3346/jkms.2020.35.e258.

A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea
  • 2Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
  • 3Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea

Abstract

A 60-year-old male patient with coronavirus disease-2019 showed new onset ST-segment elevation in V1–V2 leads on electrocardiogram and cardiac enzyme elevation in intensive care unit. He had a history of type 2 diabetes mellitus, hypertension, and dyslipidemia. He was receiving mechanical ventilation and veno-venous extracorporeal membrane oxygenation treatment for severe hypoxia. Two-D echocardiogram showed regional wall motion abnormalities. We performed primary percutaneous coronary intervention for acute myocardial infarction complicating cardiogenic shock under hemodynamic support. He expired on the 16th day of admission because of cardiogenic shock and multi-organ failure. Active surveillance and intensive treatment strategy are important for saving lives of COVID-19 patients with acute myocardial infarction.

Keyword

SARS-CoV-2; COVID-19; Acute Myocardial Infarction; Cardiogenic Shock
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