Publications by authors named "Abdelaziz Boudihi"

Given the ischemic risk due to the hypercoagulability associated with acute coronary syndromes, the administration of antiplatelet and antithrombotic agents is necessary to prevent intracoronary and postprocedural thrombosis during percutaneous coronary interventions. However, the risk of bleeding, hemorrhagic stroke included, is real, although it has a lower prevalence, and it complicates the management of the coronary event if it happens. We report the case of a 66 years old patient with no prior pathological history who was initially admitted for acute coronary syndromes, complicated by paroxysmal atrial fibrillation that was successfully thrombolysed.

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Article Synopsis
  • - A 23-year-old patient experienced an acute myocardial infarction just one day after receiving the second dose of the COVID-19 BIBP vaccine, leading to severe heart dysfunction.
  • - Despite normal coronary arteries, cardiac MRI revealed signs of a recent heart attack, particularly in the left anterior descending artery area, with no evidence of myocarditis.
  • - The case suggests a potential link between the vaccine and the heart event, but it's important to note that severe complications from COVID-19 vaccines are very rare, and health experts still strongly recommend vaccination due to its overall benefits.
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Introduction And Importance: COVID 19 infection is considered a potentially serious disease since it is responsible for important respiratory and cardiovascular complications with a high morbid-mortality.

Case Presentation: We report the case of a 54-year-old diabetic patient with hypertension who was admitted for heart failure with a reduced LVEF of 23% triggered by a pulmonary embolism and an acute coronary syndrome in the context of COVID-19 infection.

Clinical Discussion: Indeed, these complications may be secondary to a prothrombotic and hypercoagulable state as well as endothelial dysfunction caused by the vascular and systemic inflammation and cytokine storm induced by SARS-CoV-2.

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COVID-19 infection is responsible for many complications, which can lead to a high risk of mortality in some patients. Among them are cardiovascular complications which are classified as the most severe. We report a case of a young woman, with no relevant pathological history, admitted for COVID-19 infection, complicated by myocarditis with severe ventricular dysfunction, cardiogenic shock and a large thrombosis into the left ventricle (LV) that was responsible for a left lower limb ischemia associated with a deep venous thrombosis of right lower limb.

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