Acute myocardial infarction after inactivated COVID-19 vaccination: a case report and literature review

Figures

• 

  Figure 1. The electrocardiogram upon arrival (A) and one week later (B). (A) The red arrow shows ST segments were elevated in leads II, III and avF. The blue arrow shows ST segments were reciprocally depressed in leads I and avL. (B) The black arrow shows pathological Q waves in inferior leads, with ST segment recovery.

• 

  Figure 2. The results of coronary angiography. There was 95% stenosis in the right coronary artery (RCA) with a local thrombotic shadow (A), and two drug eluting stents (DES, Firebird 3.0 × 29 mm, Firebird 3.5 × 33 mm) were implanted into the RCA. (B) There was 80% stenosis in the left anterior descending coronary artery (C,D). There was 80%–90% stenosis in the obtuse marginal branch (OM) and 70%–80% stenosis in the distal LCX (d-LCX) (E), and a DES (Promus Element 2.25 × 20 mm) and a drug-coated balloon (Vesselin 3.0 × 16 mm) were implanted in the OM and d-LCX, respectively. (F) PCI, percutaneous coronary intervention.

• 

  Figure 3. Schematic diagram showing the timeline from vaccination to the onset of AMI up until patient discharge.

• 

  Figure 4. The mechanisms of Kounis syndrome pathophysiology. MRGPRX2: mas-related G protein-coupled receptor X2.