tetano
Editor, Senior Moderator
J Med Cases
. 2020 Jul;11(7):207-210.
doi: 10.14740/jmc3517. Epub 2020 Jun 29.
Cardiogenic Shock due to COVID-19-Related Myocarditis in a 19-Year-Old Autistic Patient
Greta Pascariello[SUP] 1 [/SUP], Giuliana Cimino[SUP] 1 [/SUP], Emiliano Calvi[SUP] 1 [/SUP], Nicola Bernardi[SUP] 1 [/SUP], Michele Grigolato[SUP] 2 [/SUP], Polyxeni Garyfallidis[SUP] 2 [/SUP], Davide Fabbricatore[SUP] 1 [/SUP], Elisa Pezzola[SUP] 1 [/SUP], Carlo M Lombardi[SUP] 1 [/SUP], Marco Metra[SUP] 1 [/SUP], Enrico Vizzardi[SUP] 1 [/SUP]
Affiliations
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is mainly responsible for respiratory involvement but cardiac complications are also reported. Nevertheless, potential life-threatening conditions in young people have not been described. A 19-year-old male autistic patient was admitted with fever and cough. The chest radiography showed viral pneumonia and the nasopharyngeal swab detected SARS-CoV-2. He rapidly developed hypotension, oliguria and increased myocardial injury markers and was treated with adrenaline, antiviral drugs and mechanical ventilation. Echocardiography revealed diffuse myocardial hypo-akinesia and decreased left ventricular ejection fraction (LVEF). After several days of treatment, the patient was weaned off mechanical ventilation, LVEF recovered to 50% and laboratory tests showed a decrease of markers of myocardial injury. Coronavirus disease 2019 (COVID-19) can therefore severely affect myocardium with life-threatening complications and even young people can be involved.
Keywords: COVID-19; Cardiogenic shock; Echocardiography; Myocarditis.
. 2020 Jul;11(7):207-210.
doi: 10.14740/jmc3517. Epub 2020 Jun 29.
Cardiogenic Shock due to COVID-19-Related Myocarditis in a 19-Year-Old Autistic Patient
Greta Pascariello[SUP] 1 [/SUP], Giuliana Cimino[SUP] 1 [/SUP], Emiliano Calvi[SUP] 1 [/SUP], Nicola Bernardi[SUP] 1 [/SUP], Michele Grigolato[SUP] 2 [/SUP], Polyxeni Garyfallidis[SUP] 2 [/SUP], Davide Fabbricatore[SUP] 1 [/SUP], Elisa Pezzola[SUP] 1 [/SUP], Carlo M Lombardi[SUP] 1 [/SUP], Marco Metra[SUP] 1 [/SUP], Enrico Vizzardi[SUP] 1 [/SUP]
Affiliations
- PMID: 33984092
- PMCID: PMC8040434
- DOI: 10.14740/jmc3517
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is mainly responsible for respiratory involvement but cardiac complications are also reported. Nevertheless, potential life-threatening conditions in young people have not been described. A 19-year-old male autistic patient was admitted with fever and cough. The chest radiography showed viral pneumonia and the nasopharyngeal swab detected SARS-CoV-2. He rapidly developed hypotension, oliguria and increased myocardial injury markers and was treated with adrenaline, antiviral drugs and mechanical ventilation. Echocardiography revealed diffuse myocardial hypo-akinesia and decreased left ventricular ejection fraction (LVEF). After several days of treatment, the patient was weaned off mechanical ventilation, LVEF recovered to 50% and laboratory tests showed a decrease of markers of myocardial injury. Coronavirus disease 2019 (COVID-19) can therefore severely affect myocardium with life-threatening complications and even young people can be involved.
Keywords: COVID-19; Cardiogenic shock; Echocardiography; Myocarditis.