29歳男性のST上昇型心筋梗塞を合併したCOVID-19の1例

COVID-19 complicated by ST-segment elevation myocardial infarction in a 29-year-old patient.

• Emily Ong
• Yulanka Castro-Dominguez
• Joseph Brennan
• Joyce Oen-Hsiao

抄録

29歳男性で既往歴のない患者がコロナウイルス疾患の呈示としてST上昇型心筋梗塞を呈した1例を報告する。心臓カテーテル検査で左前下行動脈が血栓により完全閉塞していることが判明した．臨床検査では，炎症性マーカーの著明な上昇と，重症急性呼吸器症候群コロナウイルス2感染症を背景とした高凝固状態が認められ，急性冠イベントの誘因と疑われた．

We describe a case in which a 29-year-old male with no medical history presented with ST-segment elevation myocardial infarction as his presentation of coronavirus disease. During cardiac catheterization, he was found to have total occlusion of his left anterior descending artery by thrombus. Laboratory testing revealed markedly elevated inflammatory markers as well as evidence of a hypercoagulable state in the setting of severe acute respiratory syndrome coronavirus 2 infection, which was suspected to be the inciting factor for his acute coronary event.

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