A patient in their 50s was admitted to the intensive care unit with severe COVID-19 pneumonia. Their medical history was notable for hypertension and diabetes for 10 years. At presentation, the patient’s oxygen saturation was 87% on room air and improved to 94% with oxygen supplementation. They were treated with steroids and parenteral anticoagulation. However, there was progressive deterioration that required mechanical ventilation and inotropic support by the seventh day of hospitalization. A 12-lead electrocardiogram (ECG) was performed because a ST-segment abnormality was observed on telemetry (Figure).
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Questions: What is the abnormality in the ECG? What is the immediate concern regarding management?
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Corresponding Author: Siddharthan Deepti, MD, DM, Department of Cardiology, 7th Floor, CN Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India (firstname.lastname@example.org).
Published Online: September 11, 2023. doi:10.1001/jamainternmed.2023.2457
Conflict of Interest Disclosures: None reported.
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