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Surge in Delayed Myocardial Infarction Presentations

Kulin Shah, Delphine Tang, Fady Ibrahim, Bobby Ghosh, Sabha Bhatti, Ehimare Akhabue, Tudor Vagaonescu, Ramzan M. Zakir, Abdul Hakeem

2020JACC Case Reports15 citationsDOIOpen Access PDF

Abstract

This case series summarizes our experience of delayed acute myocardial infarction presentations during the coronavirus disease-2019 pandemic predominantly driven by patient fear of contracting the virus in the hospital. Many presented with complications rarely seen in the primary percutaneous coronary intervention era including ventricular septal rupture, left ventricular pseudoaneurysm, and right ventricular infarction. (Level of Difficulty: Beginner.)

Topics & Concepts

Myocardial infarctionMedicineCardiologyInternal medicinePercutaneous coronary interventionElectrocardiography in myocardial infarctionPandemicPseudoaneurysmPercutaneousCoronavirus disease 2019 (COVID-19)InfarctionDiseaseInfectious disease (medical specialty)ComplicationCOVID-19 and healthcare impactsUltrasound in Clinical ApplicationsCardiac Arrest and Resuscitation