Failure of Therapeutic Management in RBBB Myocardial Infarction Patients with Covid-19 Pneumonitis Admitted at Emergency Department of Tertiary Care Teaching Hospital a Case Series

Failure of Therapeutic Management in RBBB Myocardial Infarction Patients with Covid-19 Pneumonitis

Authors

  • Dr. Dharmik B Mankodia 3rd Year Resident Doctor,Emergency Medicine Department, S.V.P.I.M.S.R., Smt. N.H.L. Municipal Medical College, Ellis Bridge, Paldi, Ahmedabad -06
  • Dr. Sapna D Gupta Associate Professor,Emergency Medicine Department, S.V.P.I.M.S.R., Smt. N.H.L. Municipal Medical College, Ellis Bridge, Paldi, Ahmedabad -06
  • Dr. Bhavesh S Jarwani Professor and Head, Emergency Medicine Department, S.V.P.I.M.S.R., Smt. N.H.L. Municipal Medical College, Ellis Bridge, Paldi, Ahmedabad -06

DOI:

https://doi.org/10.70284/njirm.v12i6.3286

Keywords:

Failure of Therapeutic Management, RBBB MI, Covid-19 Pneumonitis

Abstract

Background: SARS-Cov-2(covid-19) infection is associated with Systemic Hyercoagulability and Thrombo-Embolic Complications. Anticoagulants play a key role in their management. Despite anticoagulants we have observed five case of RBBB MI in our ICU which co-relates with the thrombotic complication. And hence, Efficacy of the anticoagulants is debatable and requires meticulous APTT monitoring. Efficacy of thrombolysis is also not clear. A current guideline gives more emphasis on PCI over thrombolysis in RBBB MI patients. BUT unfortunate turn of events into catastrophe happened in these cases due to non-feasibility of cathlab interventions in covid-19 pandemic scenario. Material and Methods: This is A case series of five patients that were COVID-19 positive admitted to the ICU and Developed RBBB MI during their ICU stay despite on anticoagulant therapy. Data was collected retrospectively from hospital indoor records. Positive case of COVID-19 was confirmed by RT-PCR assay of nasopharyngeal or oropharyngeal swab specimen. Conclusion: Development of RBBB MI in covid-19 patients on anticoagulants co-relates with the thrombotic complication of SARS-CoV-2 infection and failure of the therapeutic management. PCI can be considered as a gold standard intervention compared to thrombolysis. BUT unfortunate turn of events into catastrophe happened in these cases due to non-feasibility of cathlab interventions in covid-19 pandemic scenario. [Mankodia D Natl J Integr Res Med, 2021; 12(6): 98-103]

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Published

2022-01-01

How to Cite

Dr. Dharmik B Mankodia, Dr. Sapna D Gupta, & Dr. Bhavesh S Jarwani. (2022). Failure of Therapeutic Management in RBBB Myocardial Infarction Patients with Covid-19 Pneumonitis Admitted at Emergency Department of Tertiary Care Teaching Hospital a Case Series: Failure of Therapeutic Management in RBBB Myocardial Infarction Patients with Covid-19 Pneumonitis. National Journal of Integrated Research in Medicine, 12(6), 98–103. https://doi.org/10.70284/njirm.v12i6.3286

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Section

Case Series