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

doi:10.1016/j.jaccas.2020.05.089

Delayed Presentation of STEMI Complicated by Ventricular Septal Rupture in the Era of COVID-19 Pandemic

JACC Case Rep. 2020 Aug;2(10):1599-1602. doi: 10.1016/j.jaccas.2020.05.089. Epub 2020 Aug 19.

Authors

Taha Ahmed¹, Ashoka Nautiyal², Samir Kapadia², Steven E Nissen²

Affiliations

¹ Department of Internal Medicine, Cleveland Clinic Foundation (Fairview), Cleveland, Ohio.
² Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

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.).

Keywords: COVID-19; COVID-19, coronavirus disease-2019; ECG, electrocardiogram; MI, myocardial infarction; PA, pulmonary artery; RCA, right coronary artery; ST-segment elevation myocardial infarction; STEMI, ST-segment elevation myocardial infarction; TTE, transthoracic echocardiogram; VSR, ventricular septal rupture; coronavirus disease-2019; pandemic; ventricular septal rupture.

Publication types

Case Reports