Key result
Standard ACS protocols and supportive care yield recovery in complex COVID-19-associated NSTEMI and rhabdomyolysis.
Why the study?
NSTEMI occurring in the setting of severe rhabdomyolysis and COVID-19 infection presents a complex clinical scenario requiring detailed description.
Case Report (n=1)
No
This case highlights the complex interplay between severe rhabdomyolysis, COVID-19 infection, and NSTEMI, emphasizing the need to consider myocardial infarction in high-risk patients even without typical symptoms.
May signal NSTEMI in frail elderly COVID-19 patients with rhabdomyolysis; leaves open any causal link or practice implications.
We present a case report of a non-ST segment elevation myocardial infarction (NSTEMI) occurring in an 89-year-old male with severe rhabdomyolysis and COVID-19 infection. The patient had a complex medical history, including non-ischemic cardiomyopathy, sinus bradycardia status post permanent pacemaker placement, and multiple comorbidities. He presented to the emergency department after a mechanical fall and was found to be COVID-19 positive. Despite the absence of typical symptoms, the patient's elevated troponin levels and electrocardiogram findings indicated NSTEMI. The initial management included an acute coronary syndrome protocol and admission to the cardiac intensive care unit. During the hospitalization, the patient developed acute hypoxic respiratory failure and was treated for COVID-19 pneumonia. The patient's renal function and creatine kinase levels showed improvement, and cardiac catheterization revealed non-obstructive coronaries. The patient was discharged in stable condition with a follow-up scheduled.
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Hassan et al. (2023) conducted a case report in Non-ST Segment Elevation Myocardial Infarction (NSTEMI), Severe Rhabdomyolysis, COVID-19 (n=1). Acute coronary syndrome protocol and supportive care was evaluated on Clinical outcome (survival to discharge). An 89-year-old male with severe rhabdomyolysis and COVID-19 infection successfully recovered from an NSTEMI following acute coronary syndrome protocols and supportive care.
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