id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-265082-gjbabh4g	Xuan, Tian-ming	Primary percutaneous coronary intervention in a COVID-19 patient with ST-segment elevation myocardial infarction after lung transplantation: a case report	2020-05-09		.txt	text/plain	1980	98	45	title: Primary percutaneous coronary intervention in a COVID-19 patient with ST-segment elevation myocardial infarction after lung transplantation: a case report We present an unusual case of a patient with bilateral-lung transplantation due to severe coronavirus disease 2019 , who subsequently suffered complications with acute myocardial infarction and underwent primary percutaneous coronary intervention (PCI). Based on the clinical characteristics of this case, we propose that the possible mechanism of myocardial infarction here included severe pulmonary infection, imbalance between coagulation and fibrinolysis subsequent to lung transplantation, changes in blood flow shear stress, and possible cytokine storms, which in combination led to plaque rupture in the LAD artery. In terms of treating acute myocardial infarction, considering that the patient had recent 2019-nCoV infection and bilateral-lung transplantation, we organized multiple rounds of multi-disciplinary discussions and decided that primary coronary intervention rather than thrombolytic therapy was suitable for the patient. In addition to the patient's underlying severe coronary atherosclerosis, factors such as viral infection, inflammatory cytokine storm, hypoxia, blood loss, and bilateral-lung transplantation may contribute to the pathophysiology of myocardial infarction.	./cache/cord-265082-gjbabh4g.txt	./txt/cord-265082-gjbabh4g.txt