Delayed Presentation of STEMI Complicated by Ventricular Septal Rupture in the Era of COVID-19 Pandemic
Taha Ahmed, Ashoka Nautiyal, Samir Kapadia, Steven E. Nissen
Abstract
A significant concern in current coronavirus disease-2019 (COVID-19) pandemic era is delay in first medical contact in patients with ST-segment elevation myocardial infarction (STEMI), due to reluctance to visit the hospital. We report a case of delayed presentation of STEMI as ventricular septal rupture during the COVID-19 pandemic, a rare presentation in the current age of primary percutaneous coronary intervention. (Level of Difficulty: Beginner.)
Topics & Concepts
MedicinePresentation (obstetrics)PandemicCoronavirus disease 2019 (COVID-19)Myocardial infarctionPercutaneous coronary interventionCardiologyInternal medicine2019-20 coronavirus outbreakMedical emergencyEmergency medicineDiseaseSurgeryInfectious disease (medical specialty)VirologyOutbreakCardiac Structural Anomalies and RepairCardiac Arrest and ResuscitationMechanical Circulatory Support Devices