ST-Elevation Myocardial Infarction due to Acute Thrombosis in an Adolescent With COVID-19

STEMI can be the presenting diagnosis in adults with COVID-19; presented is a case of a 15-year-old girl with coronary thrombosis-induced STEMI associated with COVID-19. ST-elevation myocardial infarction (MI) is an identified presentation of coronavirus disease 2019 in adults but has not been reported in children. We present a case of a 15-year-old girl with a coronary thrombosis-induced ST-elevation MI in the setting of acute severe acute respiratory syndrome coronavirus 2 infection, not associated with multisystem inflammatory syndrome in children. The patient presented with chest pain, ST elevation, and myocardial dysfunction. Coronary angiography identified thrombosis treated with anticoagulation and antiplatelet therapy. MI must be considered in children who present with coronavirus disease 2019-associated myocardial dysfunction.

Automated summary

This case report presents a 15-year-old girl with coronary thrombosis-induced ST-elevation myocardial infarction associated with COVID-19. It is noteworthy that while ST-elevation MI has been identified as a presentation of COVID-19 in adults, it has not been reported in children. This highlights the importance of considering MI in children with myocardial dysfunction associated with COVID-19.