Publication Date

9-1-2021

Journal

The Texas Heart Institute Journal

DOI

10.14503/THIJ-20-7390

PMID

34652434

Publication Date(s)

September 2021

Language

English

PMCID

PMC8717746

PubMedCentral® Posted Date

10-15-2021

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

COVID-19, Fear, Humans, Male, Middle Aged, Percutaneous Coronary Intervention, SARS-CoV-2, ST Elevation Myocardial Infarction

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, social distancing guidelines have negatively affected the care-seeking behavior of patients with chronic medical conditions, including those with cardiovascular disease. We report the case of a 60-year-old man with vague gastrointestinal symptoms who waited more than 1 week to seek treatment for fear of COVID-19 infection. On presentation at another hospital, he was found to have had an anterior myocardial infarction, and he underwent percutaneous coronary intervention to stent an occluded proximal left anterior descending coronary artery. Subsequently, the patient experienced refractory cardiogenic shock and, during his transfer to our hospital, refractory ventricular tachycardia, which ultimately proved fatal.

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