tetano
Editor, Senior Moderator
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[SUP] 1 [/SUP], Madhan Kumar Murugan[SUP] 2 [/SUP], Krishnaswamy Chandrasekharan[SUP] 1 [/SUP], Refai Showkathali[SUP] 1 [/SUP]
Affiliations
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.
. 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[SUP] 1 [/SUP], Madhan Kumar Murugan[SUP] 2 [/SUP], Krishnaswamy Chandrasekharan[SUP] 1 [/SUP], Refai Showkathali[SUP] 1 [/SUP]
Affiliations
- PMID: 36450145
- DOI: 10.14503/THIJ-20-7488
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.