ST-Elevation Myocardial Infarction in Patients With COVID-19
Why the study?
Cardiovascular complications occur frequently in COVID-19 with challenges in acute management, prompting evaluation of the presentation, angiographic findings, and outcomes of STEMI in these patients.
What are the clinical presentation and angiographic findings of STEMI in patients with COVID-19?
Population
28 patients with confirmed COVID-19 undergoing urgent coronary angiography for STEMI in Lombardy
Design
Retrospective multicenter observational study
Authors
Discussion
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Member takes
Implication
STEMI in COVID-19 may involve non-obstructive mechanisms; hypothesis-generating for alternative injury pathways and requires prospective confirmation.
Structured PICO
What are the clinical presentation and angiographic findings of STEMI in patients with COVID-19?
P
Population
28 patients with confirmed COVID-19 who underwent an urgent coronary angiogram because of STEMI, mean age 68±11 years, 28.6% women.
I
Intervention
Urgent coronary angiography
O
Outcome
Incidence, clinical presentation, angiographic findings, and clinical outcomes of STEMI
A high proportion (39.3%) of COVID-19 patients presenting with STEMI did not have obstructive coronary artery disease, suggesting alternative mechanisms of myocardial injury.
Cite This Study
Stefanini et al. (2020) studied this question.