tetano
Editor, Senior Moderator
Eur J Heart Fail. 2020 Apr 10. doi: 10.1002/ejhf.1828. [Epub ahead of print]
Myocardial localization of coronavirus in COVID-19 cardiogenic shock.
Tavazzi G[SUP]1,[/SUP][SUP]2[/SUP], Pellegrini C[SUP]1,[/SUP][SUP]3[/SUP], Maurelli M[SUP]4[/SUP], Belliato M[SUP]2[/SUP], Sciutti F[SUP]2[/SUP], Bottazzi A[SUP]2[/SUP], Sepe PA[SUP]5[/SUP], Resasco T[SUP]5[/SUP], Camporotondo R[SUP]6[/SUP], Bruno R[SUP]1,[/SUP][SUP]7[/SUP], Baldanti F[SUP]1,[/SUP][SUP]8[/SUP], Paolucci S[SUP]8[/SUP], Pelenghi S[SUP]3[/SUP], Iotti GA[SUP]1,[/SUP][SUP]2[/SUP], Mojoli F[SUP]1,[/SUP][SUP]2[/SUP], Arbustini E[SUP]9[/SUP].
Author information
Abstract
We describe the first case of acute cardiac injury directly linked to myocardial localization of severe acute respiratory syndrome coronavirus (SARS-CoV-2) in a 69-year-old patient with flu-like symptoms rapidly degenerating into respiratory distress, hypotension, and cardiogenic shock. The patient was successfully treated with venous-arterial extracorporeal membrane oxygenation (ECMO) and mechanical ventilation. Cardiac function fully recovered in 5 days and ECMO was removed. Endomyocardial biopsy demonstrated low-grade myocardial inflammation and viral particles in the myocardium suggesting either a viraemic phase or, alternatively, infected macrophage migration from the lung.
? 2020 European Society of Cardiology.
KEYWORDS:
Cardiac injury; Cardiogenic shock; Coronavirus; Extracorporeal membrane oxygenation; Myocardial inflammation; SARS-CoV-2
PMID:32275347DOI:10.1002/ejhf.1828
Myocardial localization of coronavirus in COVID-19 cardiogenic shock.
Tavazzi G[SUP]1,[/SUP][SUP]2[/SUP], Pellegrini C[SUP]1,[/SUP][SUP]3[/SUP], Maurelli M[SUP]4[/SUP], Belliato M[SUP]2[/SUP], Sciutti F[SUP]2[/SUP], Bottazzi A[SUP]2[/SUP], Sepe PA[SUP]5[/SUP], Resasco T[SUP]5[/SUP], Camporotondo R[SUP]6[/SUP], Bruno R[SUP]1,[/SUP][SUP]7[/SUP], Baldanti F[SUP]1,[/SUP][SUP]8[/SUP], Paolucci S[SUP]8[/SUP], Pelenghi S[SUP]3[/SUP], Iotti GA[SUP]1,[/SUP][SUP]2[/SUP], Mojoli F[SUP]1,[/SUP][SUP]2[/SUP], Arbustini E[SUP]9[/SUP].
Author information
Abstract
We describe the first case of acute cardiac injury directly linked to myocardial localization of severe acute respiratory syndrome coronavirus (SARS-CoV-2) in a 69-year-old patient with flu-like symptoms rapidly degenerating into respiratory distress, hypotension, and cardiogenic shock. The patient was successfully treated with venous-arterial extracorporeal membrane oxygenation (ECMO) and mechanical ventilation. Cardiac function fully recovered in 5 days and ECMO was removed. Endomyocardial biopsy demonstrated low-grade myocardial inflammation and viral particles in the myocardium suggesting either a viraemic phase or, alternatively, infected macrophage migration from the lung.
? 2020 European Society of Cardiology.
KEYWORDS:
Cardiac injury; Cardiogenic shock; Coronavirus; Extracorporeal membrane oxygenation; Myocardial inflammation; SARS-CoV-2
PMID:32275347DOI:10.1002/ejhf.1828