Severe Coronary Vasospasms in Asymptomatic COVID-19.

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

7-18-2024

Keywords

cardiology, coronary artery vasospasm, covid 19, left heart catheterization, st-elevation myocardial infarction (stemi)

Disciplines

Cardiovascular Diseases | Internal Medicine | Medicine and Health Sciences | Respiratory Tract Diseases | Virus Diseases

Abstract

Since the emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 2019, we have witnessed its multi-organ system involvement, not limiting itself to the lungs. We present a case of a patient with asymptomatic coronavirus disease 2019 (COVID-19) infection who developed ST-elevation myocardial infarction (STEMI) due to coronary artery vasospasm. The patient exhibited symptoms of acute coronary syndrome, elevated troponins, and electrocardiographic changes consistent with STEMI. He was found to have significant coronary vasospasm on angiography that responded well to nitroglycerin. This case highlights the potential cardiovascular complications of COVID-19 infection, even when asymptomatic, and the importance of considering vasospasm as a possible mechanism in patients presenting with acute coronary syndrome. We also elaborate on some potential pathophysiological mechanisms in which COVID-19 may lead to coronary vasospasm.

Publisher or Conference

Cureus

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