A COVID-19 Patient in Recovery Phase with Dyspnea Due to Acute Myocardial Infarction: A Case Report

Document Type : Case Report

Authors

1 Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.

2 Department of Radiology Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
The mortality rate of coronavirus disease 2019 (COVID-19) has increased to more than 2-3% since it has rapidly become a pandemic. Therefore, it is aimed to prevent errors in the diagnosis and treatment of patients in case of disastrous situations.
Case Report:
A 56-year-old man was admitted to the Corona Referral Center with a chief complaint of shortness of breath. He was treated for COVID-19 at least for 10 days in this hospital. Two days following discharge from the hospital, the case was spending his recovery time at home; however, since this morning he had been suffering from severe dyspnea. He was re-admitted to the Corona Center with the probability of COVID complications. The patient electrocardiography revealed a new Left Bundle Branch Block, and he was transferred to a cardiac catheterization laboratory under isolated conditions. Moreover, percutaneous coronary intervention was performed on the left main coronary artery.
Conclusion:
There are always medical errors both in diagnosis and treatment since patient referrals to the emergency departments.

Keywords


  1. Ferrey AJ, Choi G, Hanna RM, Chang Y, Tantisattamo E, et al. A Case of Novel Coronavirus Disease 19 in a Chronic Hemodialysis Patient Presenting with Gastroenteritis and Developing Severe Pulmonary Disease.American Journal of nephrology. 2020. DOI: 10.1159/000507417.
  2. Singhal T. A Review of Coronavirus Disease-2019 (COVID-19). The Indian Journal of Pediatrics (April 2020) 87(4):281–286. https: //doi.org/10.1007/s12098-020-03263-6
  3. Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, et al. Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19). JAMA Cardiol. doi:10.1001/jamacardio.2020.1096
  4. Deng SH-Q, Peng HJ. Characteristics of and Public Health Responses to the Coronavirus Disease 2019 Outbreak in China. J. Clin. Med. 2020, 9, 575; doi:10.3390/jcm9020575
  5. Zhou M, Zhang X, Qu J. Coronavirus disease 2019 (COVID-19): a clinical update. Coronavirus disease 2019 (COVID-19): a clinical update. https://doi.org/10.1007/s11684-020-0767-8
  6. Carver N, Hipskind JE. Medical error. Stat-Pearls e-Book: StatPearls Publishing; 2017.
  7. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of Autoimmunity 109 (2020) 102433. https://doi.org/ 10.1016/j.jaut. 2020.102433
  8. Khazaei M, Asgari R, Zarei E, Moharramzad Y, Haghighatkhah H, Sanei Taheri M. Incidentally Diagnosed COVID-19 Infection in Trauma Patients; a Clinical Experience. Arch Acad Emerg Med. 2020; 8(1): e31.