Delayed presentation of acute coronary syndrome with mechanical complication during COVID-19 pandemic: a case report.

ABSTRACT:

Background

The World Health Organization declared coronavirus disease 2019 (COVID-19) a global pandemic on 11 March 2020. We report a patient with acute myocardial infarction (AMI) who presented late due to fears of contracting COVID-19.

Case summary

A 65-year-old man with a history of hypertension presented late to the emergency department (ED) with AMI. He gave a 2-month history of exertional angina but avoided seeking medical consult due to fears of contracting COVID-19. On the day of admission, he had 4 h of severe chest pain before presenting to the ED. He was hypotensive and tachycardic on arrival. Electrocardiogram showed inferolateral ST-elevation myocardial infarction. Chest radiograph revealed widened superior mediastinum and bedside echocardiogram revealed inferos

SUBMITTER: Tan JH 

PROVIDER: S-EPMC7953974 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature