Left ventricular free wall rupture as a result of delayed presentation of an inferior ST-elevation myocardial infarction due to fear of COVID-19 : case report
BACKGROUND: Left ventricular free wall rupture (LVFWR) is a rare complication after myocardial infarction and usually occurs 1 to 4 days after the infarct. Over the past decade, the overall incidence of LVFWR has decreased given the advancements in reperfusion therapies. However, during the COVID-19 pandemic, there has been a significant delay in hospital presentation of patients suffering myocardial infarctions, leading to a higher incidence of mechanical complications from myocardial infarctions such as LVFWR.
CASE PRESENTATION: We present a case in which a patient suffered a LVFWR as a mechanical complication from myocardial infarction due to delay in seeking care over fear of contracting COVID-19 from the medical setting. The patient had been having chest pain for a few days but refused to seek medical care due to fear of contracting COVID-19 from within the medical setting. He eventually suffered a cardiac arrest at home from a massive inferior myocardial infarction and found to be in cardiac tamponade from a left ventricular perforation. He was emergently taken to the operating room to attempt to repair the rupture but he ultimately expired on the operating table.
CONCLUSIONS: The occurrence of LVFWR has been on a more significant rise over the course of the COVID-19 pandemic as patients delay seeking care over fear of contracting COVID-19 from within the medical setting. Clinicians should consider mechanical complications of MI when patients present as an out-of-hospital cardiac arrest, particularly during the COVID-19 pandemic, as delay in seeking care is often the exacerbating factor.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
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| Enthalten in: |
Journal of cardiothoracic surgery - 16(2021), 1 vom: 22. Apr., Seite 106 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nasr, George H [VerfasserIn] |
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| Links: |
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| Themen: |
COVID-19 |
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| Anmerkungen: |
Date Completed 17.05.2021 Date Revised 17.05.2021 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s13019-021-01495-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM32442101X |
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| 520 | |a BACKGROUND: Left ventricular free wall rupture (LVFWR) is a rare complication after myocardial infarction and usually occurs 1 to 4 days after the infarct. Over the past decade, the overall incidence of LVFWR has decreased given the advancements in reperfusion therapies. However, during the COVID-19 pandemic, there has been a significant delay in hospital presentation of patients suffering myocardial infarctions, leading to a higher incidence of mechanical complications from myocardial infarctions such as LVFWR | ||
| 520 | |a CASE PRESENTATION: We present a case in which a patient suffered a LVFWR as a mechanical complication from myocardial infarction due to delay in seeking care over fear of contracting COVID-19 from the medical setting. The patient had been having chest pain for a few days but refused to seek medical care due to fear of contracting COVID-19 from within the medical setting. He eventually suffered a cardiac arrest at home from a massive inferior myocardial infarction and found to be in cardiac tamponade from a left ventricular perforation. He was emergently taken to the operating room to attempt to repair the rupture but he ultimately expired on the operating table | ||
| 520 | |a CONCLUSIONS: The occurrence of LVFWR has been on a more significant rise over the course of the COVID-19 pandemic as patients delay seeking care over fear of contracting COVID-19 from within the medical setting. Clinicians should consider mechanical complications of MI when patients present as an out-of-hospital cardiac arrest, particularly during the COVID-19 pandemic, as delay in seeking care is often the exacerbating factor | ||
| 650 | 4 | |a Case Reports | |
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| 650 | 4 | |a Cardiac tamponade | |
| 650 | 4 | |a Case report | |
| 650 | 4 | |a Inferior STEMI | |
| 650 | 4 | |a Left ventricular free wall rupture | |
| 650 | 4 | |a MI complications | |
| 650 | 4 | |a Pericardial effusion | |
| 700 | 1 | |a Glovaci, Diana |e verfasserin |4 aut | |
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| 700 | 1 | |a Chen, Kevin |e verfasserin |4 aut | |
| 700 | 1 | |a Patel, Hardikkumar |e verfasserin |4 aut | |
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| 700 | 1 | |a Chakravarthy, Bharath |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Siddharth |e verfasserin |4 aut | |
| 700 | 1 | |a Sagebin, Fabio |e verfasserin |4 aut | |
| 700 | 1 | |a El-Farra, Ailin Barseghian |e verfasserin |4 aut | |
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