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* Elevated Troponin I from  <0.01 to  0.5 ng/ml (Normal: <0.80 ng/ml)
* Elevated Troponin I from  <0.01 to  0.5 ng/ml (Normal: <0.80 ng/ml)
* [[Electrocardiogram]]: No  changes or signs of ischemia
* [[Electrocardiogram]]: No  changes or signs of ischemia
* [[Echocardiogram|Transthoracic echocardiogram]] : Left ventricular [[ejection fraction]] 45–50% and  distal anteroseptal and apical segments shows akinesia
* [[Echocardiogram|Transthoracic echocardiogram]] :  
**Left ventricular [[ejection fraction]] 45–50%  
**Distal anteroseptal and apical segments shows akinesia
* [[Angiogram|Computed tomography coronary angiogram]]:mid‐to‐distal LAD dissected
* [[Angiogram|Computed tomography coronary angiogram]]:mid‐to‐distal LAD dissected



Revision as of 17:12, 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
  • shortness of breath with suspected COVID-19.
Developed chest pain 48 hrs after admission Peripheral artery disease
  • EKG: Inferior leads shows 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 with epicardial collateral from the left anterior descending artery.
    • Intimal tear is present in mid-right coronary artery 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
  • EKG: precordial leads shows new ST-T abnormalities which was 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 neck and both arms.