Dr. Bexi

Working today due to an overflow of patients and here is a very important case: 👉 49-year-old old previously healthy man who ends up with #NSTEMI. Cardiac cath is negative, he is discharged on a beta blocker only. 👉 Following this event, he developed daily symptoms of headache, paresthesia, presyncope, dyspnea and fatigue. 👉 I asked him if he had Covid in the weeks preceding this: sure enough he did - about 12 weeks before the heart attack. 👉 I reviewed all medical records, including from a university hospital in the South ➡️ no mention of #COVID_19 or post-Covid conditions anywhere. 👉 Treatment of this patient did not include any management of #LongCovid and post-Covid cardiovascular conditions. What do we learn from this case? 🫀 Cardiovascular, autonomic and neurologic manifestations of #Covid are widespread and are often not recognized or coded as such ➡️ will not be tracked in the electronic medical records. 🧠 People are having heart attacks, strokes and blood clots at a young age, which are not counted as post-Covid sequelae ➡️ thus, the real incidence and prevalence of Long Covid and post-Covid conditions are largely underestimated. 💊 Patients are not started on aspirin because "there is no blockage in the arteries," but many patients are in hypercoagulable state (his d-dimer on admission was high) ➡️ at least a daily aspirin might be beneficial ‼️ #LongCovid is a major public health issue that is under-reported, under-counted, under-recognized and under-treated. #MedTwitter #CardioTwitter #NeuroTwitter