PMID- 33840182
OWN - NLM
STAT- MEDLINE
DCOM- 20211126
LR  - 20211202
IS  - 1122-0643 (Print)
IS  - 1122-0643 (Linking)
VI  - 91
IP  - 3
DP  - 2021 Apr 6
TI  - Apparently normal epicardial coronaries in a patient with inferior wall 
      myocardial infarction on the background of mild coronavirus disease-2019: take a 
      second look!
LID - 10.4081/monaldi.2021.1668 [doi]
AB  - The coronary angiographic (CAG) findings of ST elevation myocardial infarction 
      (STEMI) in patients of coronavirus disease 2019 (COVID-19) range from increased 
      coronary artery thrombus burden to normal coronaries due to STEMI mimics. Here we 
      report the case of a 45-year-old gentleman who presented with evolved inferior 
      wall myocardial infarction with ongoing angina along with mild COVID-19. CAG 
      showed normal epicardial coronaries except for distal right posterior descending 
      coronary artery (RPDA) 100% occlusion on careful examination. He was treated for 
      the myocardial infarction with medical management along with treatment of 
      COVID-19. The importance of our case is to highlight the possibility of distal 
      total occlusion of small coronary branches which may be missed if not carefully 
      looked for as a normal CAG in COVID-19 patient will require only supportive 
      therapy, while the finding of distal 100% occlusion of RPDA deemed us to 
      prescribe optimal medical therapy as per acute myocardial infarction protocol 
      along with treatment for COVID-19.
FAU - Kumar, Barun
AU  - Kumar B
AD  - Department of Cardiology, All India Institute of Medical Sciences (AIIMS), 
      Rishikesh. dr.barun79@gmail.com.
FAU - Kodliwadmath, Ashwin
AU  - Kodliwadmath A
AD  - Department of Cardiology, All India Institute of Medical Sciences (AIIMS), 
      Rishikesh. ashrocks33@gmail.com.
FAU - Upadhyay, Amar
AU  - Upadhyay A
AD  - Department of Pediatrics, Doon Medical College, Dehradun. 
      dramarupadhyay@gmail.com.
FAU - Singh, Anupam
AU  - Singh A
AD  - Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), 
      Rishikesh. dr.anupamsingh@gmail.com.
FAU - N, Nanda
AU  - N N
AD  - Department of Endocrinology, All India Institute of Medical Sciences (AIIMS), 
      Rishikesh. nanda.nisarga@gmail.com.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20210406
PL  - Italy
TA  - Monaldi Arch Chest Dis
JT  - Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace
JID - 9307314
SB  - IM
MH  - *COVID-19
MH  - Coronary Angiography
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Myocardial Infarction/diagnostic imaging
MH  - SARS-CoV-2
MH  - *ST Elevation Myocardial Infarction/diagnostic imaging
EDAT- 2021/04/13 06:00
MHDA- 2021/11/27 06:00
CRDT- 2021/04/12 04:30
PHST- 2020/11/07 00:00 [received]
PHST- 2021/03/04 00:00 [accepted]
PHST- 2021/04/13 06:00 [pubmed]
PHST- 2021/11/27 06:00 [medline]
PHST- 2021/04/12 04:30 [entrez]
AID - 10.4081/monaldi.2021.1668 [doi]
PST - epublish
SO  - Monaldi Arch Chest Dis. 2021 Apr 6;91(3). doi: 10.4081/monaldi.2021.1668.