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Tex Heart Inst J . Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19

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  • Tex Heart Inst J . Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19


    Tex Heart Inst J


    . 2022 Nov 1;49(6):e207488.
    doi: 10.14503/THIJ-20-7488.
    Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19


    Radhapriya Yalamanchi 1 , Madhan Kumar Murugan 2 , Krishnaswamy Chandrasekharan 1 , Refai Showkathali 1



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    Abstract

    COVID-19 is a novel disease with multisystem involvement, but most patients have pulmonary and cardiovascular involvement in the acute stages. The cardiovascular impact of acute COVID-19 is well recognized and ranges from myocarditis, arrhythmias, and thrombotic occlusion of coronary arteries to spontaneous coronary artery dissection and microthrombi in small coronary vessels on autopsy. We report a case of a 37-year-old man who recovered from mild COVID-19 only to present a few weeks later with devastating cardiovascular involvement that included severe left ventricular impairment resulting from nonischemic cardiomyopathy, multiple left ventricular thrombi, and embolic stroke.

    Keywords: COVID-19; DCM; SARS-CoV-2; cardiomyopathy, dilated; coronary thrombosis; coronavirus; embolic stroke; heart failure; stroke; ventricular dysfunction, left.

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