A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock
10.3346/jkms.2020.35.e258
- Author:
Hong Nyun KIM
1
;
Jang Hoon LEE
;
Hun Sik PARK
;
Dong Heon YANG
;
Se Yong JANG
;
Myung Hwan BAE
;
Yongkeun CHO
;
Shung Chull CHAE
;
Yong-Hoon LEE
Author Information
1. Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea
- Publication Type:Case Report
- From:Journal of Korean Medical Science
2020;35(27):e258-
- CountryRepublic of Korea
- Language:English
-
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.