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

• Published in: Journal of Korean medical science Vol. 35; no. 27; pp. e258 - 6
• Main Authors: Kim, Hong Nyun, Lee, Jang Hoon, Park, Hun Sik, Yang, Dong Heon, Jang, Se Yong, Bae, Myung Hwan, Cho, Yongkeun, Chae, Shung Chull, Lee, Yong-Hoon
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 13.07.2020; 대한의학회
• Subjects: Betacoronavirus; Case Report; Coronavirus Infections - pathology; COVID-19; Electrocardiography; Extracorporeal Membrane Oxygenation; Humans; Hypoxia - therapy; Male; Middle Aged; Myocardial Infarction - complications; Myocardial Infarction - mortality; Myocardial Infarction - therapy; Pandemics; Percutaneous Coronary Intervention - methods; Pneumonia, Viral - pathology; SARS-CoV-2; Shock, Cardiogenic - complications; Shock, Cardiogenic - mortality; Shock, Cardiogenic - therapy; 의학일반; COVID-19; SARS-CoV-2; Cardiogenic Shock; Acute Myocardial Infarction
• ISSN: 1011-8934; 1598-6357; 1598-6357
• DOI: 10.3346/jkms.2020.35.e258

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.