Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1399
8
1
gregorian
2020
11
1
11
Covid 19 Supplement 1
online
1
fulltext
en
Chest pain and high troponin level without significant respiratory symptoms in young patients with COVID-19
Cardiology
Cardiology
Case Series
Case Series
<span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="color:#0000ff;"><em><strong>Background: </strong></em></span>Of all patients infected with COVID-19, 95% have mild symptoms, but 5% may experience severe illness. There are reports of myocardial injury associated with the COVID19 infection in middle aged and old people with baseline cardiac conditions. Acute myocardial injury has been suggested as a marker for disease severity. Sometimes it is hard to differentiate between acute coronary syndrome and acute myocarditis; hence detailed history taking, lab tests and imaging will be necessary.<br>
<span style="color:#0000ff;"><em><strong>Case Presentation: </strong></em></span>Herein, we described two young patients presenting with chest pain and no significant respiratory symptoms, one without cardiovascular risk factors and another one with diabetes mellitus and cigarette smoking. COVID-19 was documented with real-time reverse-transcriptase-polymerase chain reaction (rRT-PCR).<br>
<span style="color:#0000ff;"><em><strong>Conclusion: </strong></em></span>Early Chest CT scan besides coronary CT angiogram (if available) in suspicious cases can help physician to make fast decisions. These two cases both had complication-free hospital stay. Despite markedly high on-admission troponin levels, which is known as a marker of poor prognosis they discharged in good condition. One month follow-up was also uneventful.</span></span>
COVID-19, acute myocarditis, acute coronary syndrome
561
565
http://caspjim.com/browse.php?a_code=A-10-677-3&slc_lang=en&sid=1
Behnam
Hedayat
bhedayat.thc@gmail.com
100319475328460026261
100319475328460026261
No
Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
kaveh
hosseini
kaveh_hosseini130@yahoo.com
100319475328460026262
100319475328460026262
Yes
Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran