Tuaima, Tareq and Kinsara, Abdulhalim J and Alrajawi, Amtalkhaliq and Allam, Hassan H and Alfakih, Shadwan (2020) Transient ST Segment Elevation in a Patient with COVID-19 and a Normal Transthoracic Echocardiogram. European Journal of Case Reports in Internal Medicine, 7 (10). pp. 1-4. ISSN ISSN: 2284-2594
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Abstract
The effect of COVID-19 on the cardiovascular system still needs to be clarified. Patients can develop a spectrum of cardiac diseases, from mild myocarditis to acute coronary syndrome with an impaired systolic fraction. We describe an interesting case of transient ST segment elevation in a COVID-19 patient admitted to ICU for severe respiratory distress syndrome. During his stay in ICU, the patient developed transient ST segment elevation in inferior-lateral leads which promptly resolved without requiring any additional invasive and/or pharmacological treatment.Transthoracic echocardiography showed a preserved ejection fraction without any regional abnormalities and the rise in enzyme biomarkers was insignificant. The case highlights the importance of avoiding invasive procedures in this subset of patients to reduce both patient complications and medical staff exposure. Careful evaluation including echocardiogram and second-line examinations should be performed before invasive and aggressive treatment is undertaken.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ST segment elevation, COVID-19, echocardiogram |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 15 Dec 2021 13:32 |
| Last Modified: | 15 Dec 2021 13:32 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21009 |
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