{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:17Z","timestamp":1756425797127,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,8,12]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>COVID-19 is a prothrombotic condition that is also associated with raised troponin levels and myocardial damage. We present a case of a 54-year-old man who was admitted with respiratory failure due to COVID-19 and developed a ST-elevation myocardial infarction (STEMI) during his admission. His coronary angiogram did not show any significant coronary artery disease other than a heavily thrombosed right coronary artery. In view of heavy thrombus burden, the right coronary artery was treated with thrombus retrieval using a distal embolic protection device in addition to manual thrombectomy and direct (intracoronary) thrombolysis without the need for implantation of a coronary stent. After successful revascularisation, triple antithrombotic therapy was instituted with an oral anticoagulant in addition to dual antiplatelets. This case illustrates the association of COVID-19 with coronary artery thrombosis, which may require disparate management of a STEMI than that resulting from atherosclerotic coronary artery disease.<\/jats:p>","DOI":"10.1136\/bcr-2021-243811","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T13:10:55Z","timestamp":1629897055000},"page":"e243811","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Coronary artery thrombus resulting in ST-elevation myocardial infarction in a patient with COVID-19"],"prefix":"10.1136","volume":"14","author":[{"given":"Clara","family":"Green","sequence":"first","affiliation":[{"name":"Respiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan","family":"Nadir","sequence":"additional","affiliation":[{"name":"Cardiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Will","family":"Lester","sequence":"additional","affiliation":[{"name":"Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davinder","family":"Dosanjh","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"2025082801394644000_14.8.e243811.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.04.031"},{"key":"2025082801394644000_14.8.e243811.2","doi-asserted-by":"publisher","DOI":"10.1038\/s41371-020-0387-4"},{"key":"2025082801394644000_14.8.e243811.3","doi-asserted-by":"crossref","first-page":"2080","DOI":"10.1161\/CIRCULATIONAHA.120.050809","article-title":"Acute COVID-19 and the incidence of ischemic stroke and acute myocardial infarction","volume":"142","author":"Modin","year":"2020","journal-title":"Circulation"},{"key":"2025082801394644000_14.8.e243811.4","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1161\/CIRCULATIONAHA.120.047525","article-title":"ST-elevation myocardial infarction in patients with COVID-19: clinical and angiographic outcomes","volume":"141","author":"Stefanini","year":"2020","journal-title":"Circulation"},{"key":"2025082801394644000_14.8.e243811.5","doi-asserted-by":"crossref","first-page":"2478","DOI":"10.1056\/NEJMc2009020","article-title":"ST-segment elevation in patients with Covid-19 \u2014 a case series","volume":"382","author":"Bangalore","year":"2020","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082801394644000_14.8.e243811.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.07.022"},{"key":"2025082801394644000_14.8.e243811.7","unstructured":"NICE . NICE guideline [NG191]: COVID-19 rapid guideline: managing COVID-19, 2021. Available: https:\/\/www.nice.org.uk\/guidance\/ng191"},{"key":"2025082801394644000_14.8.e243811.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.06.007"},{"key":"2025082801394644000_14.8.e243811.9","unstructured":"NICE . NICE guideline [NG185]: acute coronary syndrome, 2020. Available: https:\/\/www.nice.org.uk\/guidance\/ng185"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:39:54Z","timestamp":1756370394000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":9,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,25]]},"published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1136\/bcr-2021-243811"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243811","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}