Introduction
In December 2019, the Corona virus emerged in the Huanan Seafood Market, Wuhan, China, and rapidly became a worldwide problem[1]. Now, coronavirus disease (COVID-19) pandemic is considered to be a real crisis[2]. About 80% of patients with COVID-19 seem to mild or even no symptoms[3], however some may experience severe illness.
Atrial and venous thrombotic events have been reported in COVID-19 patients[4]. Hypoxia, severe inflammatory response, and baseline traditional risk factors predispose patients to thrombotic events. Cytokine storm in COVID-19 is the plausible mechanism for thrombotic events. Acute coronary syndrome, pulmonary thromboembolism (PTE), and cerebrovascular accidents (CVA) all may happen in COVID-19 patients due to inflammatory milieu and hemostatic changes.
Here, we report a 70-year old COVID-19 positive patient, presenting with acute coronary syndrome which has been complicated by acute PTE and CVA.