COVID-19-convalescence phase unmasks a silent myocardial infarction due to coronary plaque rupture.
CMR
COVID-19
OCT
SARS-CoV-2
convalescence
heart
magnetic resonance
myocardial infarction
myocarditis
recovery
thrombosis
Journal
ESC heart failure
ISSN: 2055-5822
Titre abrégé: ESC Heart Fail
Pays: England
ID NLM: 101669191
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
10
12
2020
received:
09
08
2020
accepted:
14
12
2020
pubmed:
8
1
2021
medline:
10
4
2021
entrez:
7
1
2021
Statut:
ppublish
Résumé
Increased risk of cardiovascular complications during and post-COVID-19 infection is more and more recognized-including myocarditis, arrhythmias, and myocardial infarctions (MIs). The mechanisms leading to these complications are direct virus-induced injuries, as well as potential thrombotic and inflammatory-induced mechanisms. To the latter, inflammatory plaque instability and plaque rupture are discussed entities contributing to MI-induced post-COVID-19 complications. Our case report describes the first time, when a temporary impairment of LVEF in the COVID-19-convalescence phase unmasks a silent MI due to coronary plaque rupture by using invasive (OCT) and non-invasive (CMR) modalities. Myocardial infarction might be an important differential diagnosis to consider in deteriorating patients with COVID-19, especially if dyspnoea persists after acute infection.
Identifiants
pubmed: 33410259
doi: 10.1002/ehf2.13186
pmc: PMC8006695
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
971-973Subventions
Organisme : BMBF (German Ministry of Education and Research)
Organisme : DZHK (German Centre for Cardiovascular Research)
Organisme : Philips Healthcare
Informations de copyright
© 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.
Références
Eur Heart J. 2020 May 14;41(19):1798-1800
pubmed: 32186331
ESC Heart Fail. 2021 Apr;8(2):971-973
pubmed: 33410259
Circulation. 2020 Jun 23;141(25):2113-2116
pubmed: 32352306
N Engl J Med. 2020 Jun 11;382(24):2372-2374
pubmed: 32302078
Eur J Heart Fail. 2020 Jun;22(6):922-925
pubmed: 32430971
J Cardiovasc Magn Reson. 2020 Sep 3;22(1):61
pubmed: 32878639