Sandbx:rinky: Difference between revisions
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| 55 year old, male admitted due | | 55 year old, male admitted due | ||
to | to | ||
with suspected [[COVID-19]]. | * fever, | ||
* cough | |||
* shortness of breath with suspected [[COVID-19]]. | |||
| Developed [[chest pain]] 48 hrs after admission | | Developed [[chest pain]] 48 hrs after admission | ||
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| | | | ||
* [[The electrocardiogram|EKG]]: Inferior leads shows Inverted T waves. | * [[The electrocardiogram|EKG]]: Inferior leads shows Inverted T waves. | ||
*[[Troponin I]] | *[[Troponin I]]<nowiki> : Elevated (355 ng/l --->70 ng/l 3 h later )[normal values <7 ng/l)]</nowiki> | ||
3 h later | |||
* [[Transthoracic echocardiography]]: | * [[Transthoracic echocardiography]]: | ||
**Left ventricular [[ejection fraction]] | **Left ventricular [[ejection fraction]] :60% | ||
**No abnormalities in wall motion. | |||
60% | **Absence of [[Diastole|diastolic]] dysfunction | ||
** | **Presence of mild [[mitral regurgitation]] | ||
* [[Coronary angiography|Coronary angiogram]] : | * [[Coronary angiography|Coronary angiogram]] : posterior | ||
descending artery with [[epicardial]] collateral from the left anterior descending artery. | descending artery is occluded with [[epicardial]] collateral from the left anterior descending artery. | ||
In | In tmid-right coronary artery, an intimal tear is present with a spontaneous dissecting coronary [[hematoma]] | ||
* Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]): spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery | * Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]): spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery | ||
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* EKG: [[Precordium|precordial]] leads shows new ST-T abnormalities which was not present previously. | * EKG: [[Precordium|precordial]] leads shows new ST-T abnormalities which was not present previously. | ||
[[Image:70yr.png|thumb|700px|right|frame|ST-T abnormalities in the precordial leads.]] | [[Image:70yr.png|thumb|700px|right|frame|ST-T abnormalities in the precordial leads.]] | ||
Revision as of 16:56, 20 July 2020
- Here is a table presenting symptoms of the reported cases:
Patient | Symptoms | Past medical history and risk factors | Laboratory findings | Treatment |
---|---|---|---|---|
55 year old, male admitted due
to
|
Developed chest pain 48 hrs after admission | Peripheral artery disease |
descending artery is occluded with epicardial collateral from the left anterior descending artery. In tmid-right coronary artery, an intimal tear is present with a spontaneous dissecting coronary hematoma |
|
70-year-old, male | Severe , persistent chest pain ( 8/10), which started 3 hrs before admission | Smoking, Hypertension, and Type 2 diabetes,
H/O percutaneous coronary intervention (PCI) with implantation of a drug-eluting stent (DES) |
|
|
48‐year‐old, female | History of severe chest pain that awoke her from sleep,9/10,severe,retrosternal tightness,pain radiates to neck and both arms. | Migraine and Hyperlipidemia |
|
|