We present two cases of acute myocardial infarction in young patients with asymptomatic COVID-19 infection and ST-elevation myocardial infarction (STEMI), complicated by severe acute heart failure and ventricular fibrillation, resulting cardiopulmonary resuscitation and mechanical ventilatory support. Urgent primary percutaneous coronary intervention with further complex treatment was effective in both cases with critical cardiovascular state and co-morbid COVID-19 infection. This report illustrates the challenges in clinical severity of STEMI with COVID-19 infection, despite of young age and absence of clinical symptoms and chronic co-morbidities. STEMI patients with even asymptomatic COVID-19 infection may be presented with significantly higher rates of severe acute heart failure.

中文翻译：

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年轻人的无症状 COVID-19 和 ST 段抬高心肌梗死：从两个类似病例中吸取的教训

我们介绍了两例无症状 COVID-19 感染和 ST 段抬高型心肌梗死 (STEMI) 的年轻患者急性心肌梗死，并发严重急性心力衰竭和心室颤动，从而导致心肺复苏和机械通气支持。紧急初级经皮冠状动脉介入治疗和进一步复杂的治疗在严重心血管状态和合并症 COVID-19 感染的两种情况下都是有效的。这份报告说明了 STEMI 与 COVID-19 感染在临床严重程度方面的挑战，尽管年龄较小且没有临床症状和慢性合并症。即使是无症状 COVID-19 感染的 STEMI 患者，其严重急性心力衰竭的发生率也可能显着升高。