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ST elevation in a critically ill patient with COVID-19: what is the emergency treatment?
  1. Mohamad Al Raqabani1,
  2. Anas Mohmoud Musa1,
  3. Omar Yousef Al-assaf2
  1. 1 Cardiology Department, Dubai Health Authority, Dubai, UAE
  2. 2 Internal Medicine Department, Dubai Health Authority, Dubai, UAE
  1. Correspondence to Dr Omar Yousef Al-assaf, Dubai Health Authority, Dubai, UAE; alassaf_94{at}hotmail.com

https://doi.org/10.1136/heartjnl-2021-319723

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    Clinical Introduction

    ECG challenge

    A previously healthy patient presented to the emergency department with acute dyspnoea preceded by 2 days’ history of cough and chest pain. The patient was diagnosed with moderate COVID-19 pneumonia based on the chest X-ray findings and positive nasal swab for SARS-CoV-2. Three days later, his condition deteriorated with progressive renal failure and development of acute right cerebellar infarction, low GCS and desaturation requiring mechanical ventilation.

    Clinically, the patient was sedated, on mechanical ventilation and anuric; had a blood pressure of 157/80 mmHg and a heart rate of 116 beats/min; and maintained saturation at FiO2 of 60%.

    Laboratory investigations showed elevated …

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    Footnotes

    • Contributors All authors have equal contribution to the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, conduct, reporting or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.