Southeast Asian Journal of Case Report and Review
Official Publication of Association of Biomedical Scientists
Official Publication of Association of Biomedical Scientists
Online ISSN: 2319-1090
Southeast Asian Journal of Case Report and Review is a Peer-reviewed, International medical journal Published by the Association of Health Professionals. It will publish 04 issues per year will publish a research paper prepared by Health Professional. Journal will Give Preference to Case Report and Review Article Aim and Scope The aim and commitment of the journal is to publish a research-oriented manuscript on significant issues in all the subjects and areas of Medical Science including Genome mutation and Pathogenicity in microbes. Journal more...Case Report
Author Details :
Volume : 11, Issue : 1, Year : 2024
Article Page : 21-24
https://doi.org/10.18231/j.sajcrr.2024.006
Abstract
Background: Acute coronary syndrome has a variety of symptoms and remains poorly under diagnosed and under treatment in women, especially myocardial infarction or ischaemic with non-obstructive coronary arteries (INOCA) as the culprit. We present a case of an Indonesian adult female with hypoxemia and ST-elevation in post-curettage due to molar pregnancy and positive COVID-19 antibodies.
Presentation: A 43-year-old Indonesian female was admitted due to confusion, dyspnoea, and chronic bleeding after the curettage. The electrocardiogram (ECG) showed ST-elevation in lead I and aVL. Her condition quickly stabilised after getting oxygen supplementation and nitro-glycerine with ST-elevation resolution and no neurological impairments. Due to COVID-19 pandemic, she was checked for a swab test which showed negative but positive on her antibodies test. Chest X-ray was normal, but the echocardiography showed mild left atrial dilatation. After standard atherosclerosis treatment and anticoagulant, her condition improved, despite recurring vaginal bleeding. During her outpatient follow-ups, suspected intrauterine leiomyoma was diagnosed by ultrasound.
Discussion: Cytokines and inflammatory responses from prolonged bleeding, hormones, metabolic disturbances, and post-COVID-19 infection have the potential to provoke INOCA. Considering the complexity of our case, contributing factors to INOCA must be addressed to optimise the strategy. Further, imaging tests should be done to confirm the diagnosis.
Keywords: ST-elevation myocardial infarction, INOCA, COVID-19, Chronic bleeding
How to cite : Wijaya Ws, Krisnawati I, ST-segment elevation in chronic bleeding post-curettage with COVID-19 antibodies: A case report. South Asian J Case Rep Rev 2024;11(1):21-24
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