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Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 20-22

Late stent thrombosis and acute ST-elevation myocardial infarction in a case affected with COVID-19: A rare manifestation

1 Internal Medicine Research Center, Semnan University of Medical Sciences, Semnan, Iran
2 Rajaie Cardiovascular Medical and Research Center; Omid Hospital, Iran University of Medical Sciences, Tehran, Iran
3 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
4 Institute for Intelligent Systems Research and Innovation, Deakin University, Geelong, Australia
5 Faculty of Electrical Engineering, Biomedical Data Acquisition Lab, K. N. Toosi University of Technology, Tehran; Department of Computer Engineering, Ferdowsi University of Mashhad, Mashhad, Iran
6 Department of Data Science & AI, Monash University, Melbourne, VIC, Australia
7 Institute for Physical Activity and Nutrition, Deakin University, Melbourne, VIC; Cardiovascular Division, The George Institute for Global Health, Newtown; Sydney Medical School, University of Sydney, Sydney, NSW, Australia

Correspondence Address:
Dr. Roohallah Alizadehsani
Institute for Intelligent Systems Research and Innovation, Deakin University, Geelong, VIC 3216
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/rcm.rcm_39_20

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A 65-year-old male was introduced with a history of percutaneous coronary intervention 2 years ago who received Aspirin and Plavix. He was referred for coronary angiography after receiving thrombolytic therapy for ST-elevation myocardial infarction in precordial leads. On admission, he had dyspnea with low oxygen saturation, leukocytosis, lymphopenia, elevated C-reactive protein, and cardiac troponin levels. Transthoracic echocardiography demonstrated left ventricular ejection fraction (LVEF) of 25% and pulmonary artery pressure of 45 mmHg. A small thrombus at the site of the previously deployed stent was noticeable at coronary angiography. The chest computed tomography depicted significant involvement of the lungs manifested by peripheral ground-glass opacifications. A positive polymerase chain reaction confirmed coronavirus infection. He was oxygen dependent for 1 week. Gradually, his respiratory distress improved and his LVEF reached to 30% after discharge.

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