Sandbx:rinky: Difference between revisions

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! align="center" style="background: #4479BA; color: #FFFFFF |Past medical history and risk factors
! align="center" style="background: #4479BA; color: #FFFFFF |Past medical history and risk factors


! align="center" style="background: #4479BA; color: #FFFFFF |Laboratory findings
! align="center" style="background: #4479BA; color: #FFFFFF |Laboratory/Imagings findings


! align="center" style="background: #4479BA; color: #FFFFFF |Treatment
! align="center" style="background: #4479BA; color: #FFFFFF |Treatment
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| 55 year old, male admitted due
| 55 years old, male admitted due
to  
to  


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* Shortness of breath with suspected [[COVID-19]].
* Shortness of breath with suspected [[COVID-19]].


| Developed [[chest pain]] 48 hrs after coming to hospital
| Developed [[chest pain]] 48 hrs after coming to the hospital


|[[Peripheral arterial disease|Peripheral artery disease]]
|[[Peripheral arterial disease|Peripheral artery disease]]


|
|
* [[The electrocardiogram|EKG]]:  Inferior leads shows Inverted T waves.
* [[The electrocardiogram|EKG]]:  Inferior leads show Inverted T waves.
*Elevated  [[Troponin I]]  from 355 ng/l --->70 ng/l 3 h later (Normal values <7 ng/l))
*Elevated  [[Troponin I]]  from 355 ng/l --->70 ng/l 3 h later (Normal values <7 ng/l))


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**Posterior descending artery is occluded
**Posterior descending artery is occluded
**Presence of  [[epicardial]] collateral from the left anterior descending artery
**Presence of  [[epicardial]] collateral from the left anterior descending artery
**Intimal tear is present in mid-right coronary artery with a spontaneous dissecting coronary [[hematoma]]
**Intimal tear is present in the mid-right coronary artery with a spontaneous dissecting coronary [[hematoma]]


* Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]):  
* Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]):  
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|70-year-old, male
|70-year-old, male


|Severe , persistent chest pain ( 8/10), which started 3 hrs before admission
|Severe, persistent chest pain ( 8/10), which started 3 hrs before admission


|
|
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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 that were 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.]]
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* History of severe chest pain that awoke her from sleep
* History of severe chest pain that awoke her from sleep
|Severe retrosternal chest pain,9/10,pain radiates to neck and both arms.
|Severe retrosternal chest pain,9/10, pain radiates to the neck, and both arms.


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Revision as of 18:15, 20 July 2020

  • Here is a table presenting symptoms of the reported cases:
Patient Symptoms Past medical history and risk factors Laboratory/Imagings findings Treatment
55 years old, male admitted due

to

  • Fever,
  • Cough
  • Shortness of breath with suspected COVID-19.
Developed chest pain 48 hrs after coming to the hospital Peripheral artery disease
  • EKG: Inferior leads show Inverted T waves.
  • Elevated Troponin I from 355 ng/l --->70 ng/l 3 h later (Normal values <7 ng/l))
  • Coronary angiogram :
    • Posterior descending artery is occluded
    • Presence of epicardial collateral from the left anterior descending artery
    • Intimal tear is present in the mid-right coronary artery with a spontaneous dissecting coronary hematoma
  • Optical coherence tomography (OCT):
    • Intimal rupture of right coronary artery
    • Spontaneous dissecting coronary hematoma
  • Coronary angiogram was planned.
70-year-old, male Severe, persistent chest pain ( 8/10), which started 3 hrs before admission
  • EKG: precordial leads shows new ST-T abnormalities that were not present previously.
ST-T abnormalities in the precordial leads.


48‐year‐old, female
  • History of severe chest pain that awoke her from sleep
Severe retrosternal chest pain,9/10, pain radiates to the neck, and both arms.