ABC | Volume 114, Nº6, June 2020

Case Report Ritt et al. COVID-19 and cardiac collateral damage Arq Bras Cardiol. 2020; 114(6):1172-1075 Figure 2 – Coronary cineangiography representing: a) occluded anterior descending coronary artery and b) after primary angioplasty. a) b) Figure 1 – Electrocardiogram upon admission. Figure 3 – Timeline from onset of symptoms to diagnosis of myocardial infarction. ACS: acute coronary syndrome; ADA: anterior descending artery; ARB: angiotensin receptor blocker; CPH: Cardiopulmonary Hospital; ECG: electrocardiogram; ER: emergency room; SD: suspected diagnosis; STEMI: myocardial infarction with ST elevation. D-10: Suspended ARB (afraid of COVID-19) D1 (April 3, 8:00 AM): Chest pain + radiating + sweating D2 (April 4, 12:00 PM): Emergency SD of ACS – asked to be discharged D0 (April 2, 8:00 AM): Chest pain • Thought of COVID-19 – began isolation, monitoring temperature, and paracetamol. D1 (April 3, 2:00 PM): Contact with infectologist – “if worsens, go to ER” D2 (April 4, 2:30 PM): symptoms worsened, CPH ER; ECG, acute STEMI, occluded ADA – primary angioplasty 1073