Clinical, demographic, anamnestic and instrumental data of patients with acute coronary syndrome and Covid-19

Objective. To analyze demographic, anamnestic, clinical and instrumental data in patients with acute coronary syndrome and COVID-19 upon admission. Material and methods. A retrospective continuous analysis of the electronic database included patients with acute coronary syndrome between May 1, 2020 and December 31, 2021. Results. Incidence of acute coronary syndrome was the same in male and female patients. Mean age of patients was 69 years. Covid-19 was asymptomatic. Type 2 diabetes mellitus was the most common comorbidity. All patients had coronary artery disease. Episode of acute coronary syndrome was primary and proceeded typically with chest pain, irradiation to the neck and left arm, shortness of breath, weakness and dizziness. Clinical picture included myocardial infarction with ST segment elevation, Q wave and lesion of inferior LV wall. Myocardial infarction was accompanied by heart rhythm and conduction disturbances, reduced LV ejection fraction. Triple-vessel coronary lesion was observed. Conclusion. In context of ongoing COVID-19 pandemic, it is impossible to suspect COVID-19 considering demographic, anamnestic, clinical and instrumental data in patients with acute coronary syndrome. Therefore, the principle of «infectious alertness» is important for all patients with acute coronary syndrome.