A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome
Yıl: 2021 Cilt: 36 Sayı: 1 Sayfa Aralığı: 63 - 68 Metin Dili: İngilizce DOI: 10.5222/MMJ.2021.25478 İndeks Tarihi: 05-06-2021
A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome
Öz: Myocardial infarction with nonobstructive coronary arteries (MINOCA) is defined as having a stenosis of less than 50% or no stenosis in coronary angiography in a patient diagnosed with myocardial infarction.Because of its thrombogenic predisposition in COVID-19, the diagnosis of MINOCA syndrome is rarely thought in the patients with ST-segment elevation myocardial Infarction on electrocardiogram. In this case report, we discuss a 47-year-old male patient diagnosed with MINOCA who was followed up with respiratory failure due to COVID-19 viral pneumonia in intensive care unit. His 12-lead electrocardiogram showed “inferior STEMI”. A 30-40% stenosis was also shown in the midportion of left anterior descending artery in emergency coronary angiography. The patient had a normal computed tomographic pulmonary angiography and was discharged with a full recovery.MINOCA may be triggered by hyperinflammation or various processes due to COVID-19. To explain these processes associated with MINOCA syndrome, further clinical trials are needed.
Anahtar Kelime: COVID-19’da ST Segment Yükseklikli Miyokart İnfarktüsünün Nadir Bir Nedeni: MINOCA Sendromu
Öz: Non-obstrüktif Koroner Arterlerle birlikte Miyokart İnfarktüsü (MINOCA), miyokard infarktüsü teşhisi konulan bir hastada koroner anjiyografide darlığın %50’den az olması veya dar olmaması olarak tanımlanır. COVID-19’daki büyük trombojenik yatkınlığı nedeniyle, elektrokardiyogram’da ST-elevasyonlu miyokard infarktüsü görülen hastalarda MINOCA sendromu tanısı nadiren düşünülür. Bu vaka sunumunda, yoğun bakım ünitesi’nde, COVID-19 viral pnömonisine bağlı solunum yetmezliği ile takip eden MINOCA tanısı almış 47 yaşında bir erkek hastayı tartışıyoruz. Hastanın 12-derivasyonlu elektrokardiyografisinde “inferiyor STEMI” vardı. Acil koroner anjiyografide de sol ön inen arter orta kısmında %30-40 darlık gösterildi. Bilgisayarlı tomografik pulmoner anjiyografisi normal olan hasta iyileşerek evine taburcu edildi. MINOCA, COVID-19’a bağlı olarak hiperinflamasyon veya çeşitli süreçlerle tetiklenebilir. MINOCA sendromuyla ilişkili bu süreçleri açıklamak için daha fazla klinik denemeye ihtiyaç vardır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | Eroğlu S, Ademoğlu E, BAYRAM S, Aksel G (2021). A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. , 63 - 68. 10.5222/MMJ.2021.25478 |
| Chicago | Eroğlu Serkan Emre,Ademoğlu Enis,BAYRAM SAMET,Aksel Gökhan A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. (2021): 63 - 68. 10.5222/MMJ.2021.25478 |
| MLA | Eroğlu Serkan Emre,Ademoğlu Enis,BAYRAM SAMET,Aksel Gökhan A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. , 2021, ss.63 - 68. 10.5222/MMJ.2021.25478 |
| AMA | Eroğlu S,Ademoğlu E,BAYRAM S,Aksel G A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. . 2021; 63 - 68. 10.5222/MMJ.2021.25478 |
| Vancouver | Eroğlu S,Ademoğlu E,BAYRAM S,Aksel G A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. . 2021; 63 - 68. 10.5222/MMJ.2021.25478 |
| IEEE | Eroğlu S,Ademoğlu E,BAYRAM S,Aksel G "A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome." , ss.63 - 68, 2021. 10.5222/MMJ.2021.25478 |
| ISNAD | Eroğlu, Serkan Emre vd. "A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome". (2021), 63-68. https://doi.org/10.5222/MMJ.2021.25478 |
| APA | Eroğlu S, Ademoğlu E, BAYRAM S, Aksel G (2021). A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. Medeniyet Medical Journal, 36(1), 63 - 68. 10.5222/MMJ.2021.25478 |
| Chicago | Eroğlu Serkan Emre,Ademoğlu Enis,BAYRAM SAMET,Aksel Gökhan A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. Medeniyet Medical Journal 36, no.1 (2021): 63 - 68. 10.5222/MMJ.2021.25478 |
| MLA | Eroğlu Serkan Emre,Ademoğlu Enis,BAYRAM SAMET,Aksel Gökhan A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. Medeniyet Medical Journal, vol.36, no.1, 2021, ss.63 - 68. 10.5222/MMJ.2021.25478 |
| AMA | Eroğlu S,Ademoğlu E,BAYRAM S,Aksel G A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. Medeniyet Medical Journal. 2021; 36(1): 63 - 68. 10.5222/MMJ.2021.25478 |
| Vancouver | Eroğlu S,Ademoğlu E,BAYRAM S,Aksel G A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome. Medeniyet Medical Journal. 2021; 36(1): 63 - 68. 10.5222/MMJ.2021.25478 |
| IEEE | Eroğlu S,Ademoğlu E,BAYRAM S,Aksel G "A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome." Medeniyet Medical Journal, 36, ss.63 - 68, 2021. 10.5222/MMJ.2021.25478 |
| ISNAD | Eroğlu, Serkan Emre vd. "A Rare Cause of ST-Segment Elevation Myocardial Infarction in COVID-19: MINOCA Syndrome". Medeniyet Medical Journal 36/1 (2021), 63-68. https://doi.org/10.5222/MMJ.2021.25478 |
