ST-segment elevation in chronic bleeding post-curettage with COVID-19 antibodies: A case report

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dc.contributor.authorWijaya, WSen_US
dc.contributor.authorKrisnawati, I.en_US
dc.date.accessioned2024-12-02T12:03:59Z
dc.date.available2024-12-02T12:03:59Z
dc.date.issued2024-01
dc.description.abstractBackground: 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. Case 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.en_US
dc.identifier.affiliationsDept. of Medicine, Trisakti University, Jakarta, Indonesiaen_US
dc.identifier.affiliationsDept. of Cardiology, Trisakti University, Jakarta, Indonesiaen_US
dc.identifier.citationWijaya WS, Krisnawati I. . ST-segment elevation in chronic bleeding post-curettage with COVID-19 antibodies: A case report. Journal of Applied Biology & Biotechnology. 2024 Jan; 11(1): 21-24en_US
dc.identifier.issn2319-1090
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/240881
dc.languageenen_US
dc.publisherIP Innovative Publication Pvt. Ltd.en_US
dc.relation.issuenumber1en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18231/j.sajcrr.2024.006en_US
dc.subjectST-elevation myocardial infarctionen_US
dc.subjectINOCAen_US
dc.subjectCOVID-19en_US
dc.subjectChronic bleedingen_US
dc.titleST-segment elevation in chronic bleeding post-curettage with COVID-19 antibodies: A case reporten_US
dc.typeJournal Articleen_US
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