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A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock

Journal of Korean Medical Science 2020년 35권 27호 p.258 ~ 258
 ( Kim Hong-Nyun ) - Kyungpook National University Hospital Department of Internal Medicine

이장훈 ( Lee Jang-Hoon ) - Kyungpook National University Hospital Department of Internal Medicine
박훈식 ( Park Hun-Sik ) - Kyungpook National University Hospital Department of Internal Medicine
양동헌 ( Yang Dong-Heon ) - Kyungpook National University Hospital Department of Internal Medicine
장세용 ( Jang Se-Yong ) - Kyungpook National University Hospital Department of Internal Medicine
배명환 ( Bae Myung-Hwan ) - Kyungpook National University Hospital Department of Internal Medicine
조용근 ( Cho Yong-Keun ) - Kyungpook National University Hospital Department of Internal Medicine
채성철 ( Chae Shung-Chull ) - Kyungpook National University Hospital Department of Internal Medicine
이용훈 ( Lee Yong-Hoon ) - Kyungpook National University School of Medicine Department of Internal Medicine

Abstract


A 60-year-old male patient with coronavirus disease-2019 showed new onset ST-segment elevation in V1?V2 leads on electrocardiogram and cardiac enzyme elevation in intensive care unit. He had a history of type 2 diabetes mellitus, hypertension, and dyslipidemia. He was receiving mechanical ventilation and veno-venous extracorporeal membrane oxygenation treatment for severe hypoxia. Two-D echocardiogram showed regional wall motion abnormalities. We performed primary percutaneous coronary intervention for acute myocardial infarction complicating cardiogenic shock under hemodynamic support. He expired on the 16th day of admission because of cardiogenic shock and multi-organ failure. Active surveillance and intensive treatment strategy are important for saving lives of COVID-19 patients with acute myocardial infarction.

키워드

SARS-CoV-2; COVID-19; Acute Myocardial Infarction; Cardiogenic Shock
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