COVID‐19‐convalescence phase unmasks a silent myocardial infarction due to coronary plaque rupture

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 inf...

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Bibliographic Details
Published inESC Heart Failure Vol. 8; no. 2; pp. 971 - 973
Main Authors Tschöpe, Carsten, Sherif, Mohammad, Anker, Markus S., Geisel, Dominik, Kuehne, Titus, Kelle, Sebastian
Format Journal Article
LanguageEnglish
Published England John Wiley & Sons, Inc 01.04.2021
John Wiley and Sons Inc
Wiley
Subjects
Aged
Cardiovascular disease
Case Report
CMR
Convalescence
Coronaviruses
COVID-19
COVID-19 - complications
heart
Heart attacks
Humans
Infections
magnetic resonance
Male
myocardial infarction
Myocardial Infarction - diagnosis
Myocardial Infarction - etiology
Myocardial Infarction - therapy
Myocarditis
OCT
Plaque, Atherosclerotic - diagnosis
Plaque, Atherosclerotic - etiology
Plaque, Atherosclerotic - therapy
recovery
SARS‐CoV‐2
Severe acute respiratory syndrome coronavirus 2
Stroke Volume
thrombosis
COVID-19
OCT
SARS-CoV-2
convalescence
magnetic resonance
thrombosis
myocarditis
myocardial infarction
CMR
recovery
heart
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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Carsten Tschöpe and Mohammad Sherif contributed equally to this study.
ISSN:2055-5822
2055-5822
DOI:10.1002/ehf2.13186