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Acute perimyocarditis with cardiac tamponade in COVID-19 infection without respiratory disease.

ABSTRACT: The COVID-19 pandemic with its severe respiratory disease has caused overflow to hospitals and intensive care units. Elevated troponins and natriuretic peptides are related to cardiac injury and poor prognosis. We present a young woman with COVID-19 infection with haemodynamic instability caused by acute perimyocarditis and cardiac tamponade. Troponin T was modestly elevated. Focused cardiac ultrasound made the diagnosis. Echocardiography revealed transient thickening of the myocardial walls. After pericardial drainage and supportive care, she improved significantly within 1?week without targeted therapy. The case illustrates the importance of cardiac diagnostic imaging in patients with COVID-19 and elevated cardiac biomarkers.

SUBMITTER: Dalen H

PROVIDER: S-EPMC7440216 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Acute perimyocarditis with cardiac tamponade in COVID-19 infection without respiratory disease.

Dalen Havard H Holte Espen E Guldal Anna Ulstein AU Hegvik Johan-Arnt JA Stensaeth Knut Haakon KH Braaten Anders Tjellaug AT Mjølstad Ole Christian OC Rossvoll Ole O Wiseth Rune R

BMJ case reports 20200819 8

The COVID-19 pandemic with its severe respiratory disease has caused overflow to hospitals and intensive care units. Elevated troponins and natriuretic peptides are related to cardiac injury and poor prognosis. We present a young woman with COVID-19 infection with haemodynamic instability caused by acute perimyocarditis and cardiac tamponade. Troponin T was modestly elevated. Focused cardiac ultrasound made the diagnosis. Echocardiography revealed transient thickening of the myocardial walls. Af ...[more]

PMID: 32816835

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