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Journal|[J]Journal of Ideas in HealthVolume 4, Issue 4. 2021. PP 601-603
MT1例COVID-19伴ST段抬高型心肌梗死患者的多发性不规则和血栓
Multiple irregularities and thrombus in a patient with COVID-19 presenting with ST-segment elevation myocardial infarction: a case report
摘要 / Abstract
MT
背景:在冠状病毒病2019 ( COVID-19 )患者中很可能出现多发性血栓。因此,在这类病人中,在插管后取得成功的结果是相当困难的。
原文
Background: Multiple thrombi are likely to develop in Coronavirus Disease 2019 (COVID-19) patients. Hence, achieving successful outcomes following catheterization becomes quite challenging in such patients. Case presentation: We report a challenging case of a 36-year-old female with ST-Segment Elevation Myocardial Infarction (STEMI). Coronary angiography revealed multiple irregularities in the coronary tree as well as thrombi. Although computed tomography imaging of the thorax was normal, reverse transcription-polymerase chain reaction (RT-PCR) confirmed the diagnosis of COVID-19. The outcome was good TIMI flow after a successful Primary Angioplasty in Acute Myocardial Infarction (PAMI), and the patient was isolated and then switched to oral anticoagulants (clopidogrel) for dual antiplatelet therapy (DAPT) therapy.  Conclusion: This case emphasizes the management of a COVID-19 patient for PAMI.
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