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3 h later (normal values <7 ng/l)}
3 h later (normal values <7 ng/l)}


* [[Transthoracic echocardiography]]:Left ventricular [[ejection fraction]]
* [[Transthoracic echocardiography]]:
**Left ventricular [[ejection fraction]]


60%  wall motion had no abnormalities, absence of [[Diastole|diastolic]] dysfunction,  
60%  wall motion had no abnormalities,
** absence of [[Diastole|diastolic]] dysfunction,  


and presence of mild [[mitral regurgitation]]
and presence of mild [[mitral regurgitation]]
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* [[Echocardiography|Echocardiogram]]: Left ventricular [[ejection fraction]]  40–45% with [[akinesia]] in the LCx territory (old) and a severe [[Hypokinesia|hypokinesis]] in the left anterior ascending (LAD).
* [[Echocardiography|Echocardiogram]]:  
**Left ventricular [[ejection fraction]]  40–45% with [[akinesia]] in the LCx territory (old) and  
**a severe [[Hypokinesia|hypokinesis]] in the left anterior ascending (LAD).
* [[Coronary angiography|Coronary angiogram]]: moderate in-stent restenosis present on LCx-OM and a moderate right coronary artery (RCA) stenosis
* [[Coronary angiography|Coronary angiogram]]: moderate in-stent restenosis present on LCx-OM and a moderate right coronary artery (RCA) stenosis



Revision as of 16:46, 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 fever, cough and shortness of breath

with suspected COVID-19.

Developed chest pain 48 hrs after admission Peripheral artery disease
  • EKG: Inferior leads shows Inverted T waves.
  • Troponin I was elevated {Hs-TnI was at 355 ng/l, then 570 ng/l

3 h later (normal values <7 ng/l)}

60% wall motion had no abnormalities,

and presence of mild mitral regurgitation

descending artery with epicardial collateral from the left anterior descending artery.

In the mid-right coronary artery, an intimal tear is present with a spontaneous dissecting coronary hematoma

  • Optical coherence tomography (OCT): spontaneous dissecting coronary hematoma with an intimal rupture of right coronary artery
  • Coronary angiogram was planned.
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)

  • EKG: precordial leads shows new ST-T abnormalities which was not present previously.
ST-T abnormalities in the precordial leads.
[1]


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
  1. Seresini, Giuseppe; Albiero, Remo; Liga, Riccardo; Camm, Christian Fielder; Liga, Riccardo; Camm, Christian Fielder; Thomson, Ross (2020). "Atherosclerotic spontaneous coronary artery dissection (A-SCAD) in a patient with COVID-19: case report and possible mechanisms". European Heart Journal - Case Reports. doi:10.1093/ehjcr/ytaa133. ISSN 2514-2119.