tetano
Editor, Senior Moderator
Cureus
. 2020 Aug 30;12(8):e10127.
doi: 10.7759/cureus.10127.
Death due to Cardiac Arrest in a Young Female With Highly Suspected COVID-19: A Case Report
Sherif Mohamed[SUP] 1 [/SUP], Osama Abo El-Hassan[SUP] 2 [/SUP], Magda Rizk[SUP] 3 [/SUP], Jumana H Ismail[SUP] 4 [/SUP], Aml Baioumy[SUP] 4 [/SUP]
Affiliations
Abstract
Despite the common clinical presentations of the pandemic coronavirus disease of 2019 (COVID-19) being well-known, there remain issues on its atypical or rare presentations. Moreover, despite the known risk factors for severe COVID-19 are cardiovascular disease, diabetes mellitus, hypertension, chronic lung disease, and advanced age, still younger patients suffer from this disease. Herein, we present a case report of a 28-year-old female patient who was presented to the ED with cardiac arrest, then died within 12 hours. First swab testing by reverse transcription-polymerase chain reaction (RT-PCR) came negative. However, she has typical CT features of COVID-19 pneumonia, along with an echocardiographic picture of acute cor pulmonale. Though it is rare, cardiac arrest can happen in young apparently healthy patients with COVID-19. As COVID-19 patients are commonly having clotting disorders, endothelial and organ dysfunction, coagulopathy, and liable for pulmonary thromboembolism (PTE), it is important to select those COVID-19 patients who are at higher risk of PTE, and practice CT pulmonary angiography (CTPA) for the diagnosis of PTE, especially in case of significant increase of D-dimer values.
Keywords: cardiac arrest; case report; coagulopathy; covid-19; false-negative; female; mortality; pulmonary embolism; young.
. 2020 Aug 30;12(8):e10127.
doi: 10.7759/cureus.10127.
Death due to Cardiac Arrest in a Young Female With Highly Suspected COVID-19: A Case Report
Sherif Mohamed[SUP] 1 [/SUP], Osama Abo El-Hassan[SUP] 2 [/SUP], Magda Rizk[SUP] 3 [/SUP], Jumana H Ismail[SUP] 4 [/SUP], Aml Baioumy[SUP] 4 [/SUP]
Affiliations
- PMID: 33005541
- PMCID: PMC7523737
- DOI: 10.7759/cureus.10127
Abstract
Despite the common clinical presentations of the pandemic coronavirus disease of 2019 (COVID-19) being well-known, there remain issues on its atypical or rare presentations. Moreover, despite the known risk factors for severe COVID-19 are cardiovascular disease, diabetes mellitus, hypertension, chronic lung disease, and advanced age, still younger patients suffer from this disease. Herein, we present a case report of a 28-year-old female patient who was presented to the ED with cardiac arrest, then died within 12 hours. First swab testing by reverse transcription-polymerase chain reaction (RT-PCR) came negative. However, she has typical CT features of COVID-19 pneumonia, along with an echocardiographic picture of acute cor pulmonale. Though it is rare, cardiac arrest can happen in young apparently healthy patients with COVID-19. As COVID-19 patients are commonly having clotting disorders, endothelial and organ dysfunction, coagulopathy, and liable for pulmonary thromboembolism (PTE), it is important to select those COVID-19 patients who are at higher risk of PTE, and practice CT pulmonary angiography (CTPA) for the diagnosis of PTE, especially in case of significant increase of D-dimer values.
Keywords: cardiac arrest; case report; coagulopathy; covid-19; false-negative; female; mortality; pulmonary embolism; young.