https://doi.org/10.4081/monaldi.2021.1778
Acute heart failure due to COVID-19 related myocardial injury and de novo hypertensive cardiomyopathy: a challenging diagnosis
Submitted: January 24, 2021
Accepted: July 28, 2021
Published: September 14, 2021
Accepted: July 28, 2021
Abstract Views: 1146
PDF: 562
Supplementary: 65
Supplementary: 65
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We report a COVID-19 case with acute heart and kidney failure in a healthy young male. Echocardiography showed severe systolic and diastolic left ventricle dysfunction, with diffuse myocardial thickening. Cardiac MRI showed aspects of focal myocarditis, and hypertensive cardiomyopathy. Renal biopsy demonstrated limited acute tubular injury, and hypertensive kidney disease. Coronary angiography excluded critical stenoses. Unlike what we initially suspected, myocardial inflammation had a limited extent in our patient; severe hypertension causing cardiomyopathy and multi-organ damage, not diagnosed before, was primarily responsible for severe illness. Correct diagnosis and guidelines-directed treatment allowed a favorable course.
Zhou F, Yu T, Du R, et al. Clinical Course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet 2020; 395:1054-62.
DOI: https://doi.org/10.1016/S0140-6736(20)30566-3
Xiong T-Y, Redwood S, Prendergast B, Chen M. Coronaviruses and the cardiovascular system: acute and long-term implications. Eur Heart J 2020;41:1798-800.
DOI: https://doi.org/10.1093/eurheartj/ehaa231
Tomasoni D, Inciardi RM, Lombardi CM, et al. Impact of heart failure on the clinical course and outcomes of patients hospitalized for COVID-19. Results of the Cardio-COVID-Italy multicentre study. Eur J Heart Fail 2020;22:2238-47.
DOI: https://doi.org/10.1002/ejhf.2052
Li J-W, Han T-W, Woodward M, et al. The impact of 2019 novel coronavirus on heart injury: A systemic review and meta-analysis. Prog Cardiovasc Dis 2020;63:518-24.
DOI: https://doi.org/10.1016/j.pcad.2020.04.008
Lombardi CM, Carubelli V, Iorio A, et al. Association of troponin levels with mortality in Italian patients hospitalized with Coronavirus Disease 2019: Results of a multicenter study. JAMA Cardiol 2020;5:1274-80.
DOI: https://doi.org/10.1001/jamacardio.2020.3538
Inciardi RM, Lupi L, Zaccone G, et al. Cardiac involvement in a patient with Coronavirus Disease 2019 (COVID-19). JAMA Cardiol 2020;5:819-24.
DOI: https://doi.org/10.1001/jamacardio.2020.1096
Sala S, Peretto G, Gramegna M, et al. Acute myocarditis presenting as a reverse Tako-Tsubo syndrome in a patient with SARS-CoV-2 respiratory infection. Eur Heart J 2020 14;41:1861-2.
DOI: https://doi.org/10.1093/eurheartj/ehaa286
Kim IC, Kim JY, Kim HA, Han S. COVID-19-related myocarditis in a 21-year-old female patient. Eur Heart 2020;41:1859.
DOI: https://doi.org/10.1093/eurheartj/ehaa288
Cheng Y, Luo R, Wang K, et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int 2020;97:829–38.
DOI: https://doi.org/10.1016/j.kint.2020.03.005
Ronco C, Reis T, Husain-Syed F. Management of acute kidney injury in patients with COVID-19. Lancet Respir Med 2020;8:738-42.
DOI: https://doi.org/10.1016/S2213-2600(20)30229-0
How to Cite
Pernigo, Matteo, Marco Triggiani, Emanuele Gavazzi, Ilaria Papa, Alberto Vaccari, Simona Fisogni, Ester Costantino, and Gian Franco Pasini. 2021. “Acute Heart Failure Due to COVID-19 Related Myocardial Injury and De Novo Hypertensive Cardiomyopathy: A Challenging Diagnosis”. Monaldi Archives for Chest Disease 92 (1). https://doi.org/10.4081/monaldi.2021.1778.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Murali Mupparapu, Rajesh Venkataram, Nandakishore Baikunje, Ivor D'sa, Chandramouli Mandya Thimmaiah, Assessment of left ventricular function in subjects with chronic obstructive pulmonary disease , Monaldi Archives for Chest Disease: Early Access
- AA VV, Appropriateness of Cardiac Rehabilitation in the Health System of Regione Lombardia , Monaldi Archives for Chest Disease: Vol. 72 No. 4 (2009): Cardiac series
- Gennaro Ratti, Cinzia Monda, Federica Ratti, Marco Golino, Ludovica Fulgione, Cosimo Fulgione, Mario Mallardo, Paolo Tammaro, Long-term dual antiplatelet therapy and nuisance bleeding: impact on quality of life , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- G. Valli, A. Fedeli, R. Antonucci, P. Paoletti, P. Palange, Water and sodium imbalance in COPD patients , Monaldi Archives for Chest Disease: Vol. 61 No. 2 (2004): Pulmonary series
- Furio Colivicchi, Francesco Fattirolli, Editors of Monaldi Archives for Chest Disease - Cardiac Series , Monaldi Archives for Chest Disease: Vol. 78 No. 1 (2012): Cardiac series
- Antonietta Evangelista, Matteo Ruzzolini, Carlo Peraldo Neja, Paolo Azzolini, A rare case of acute Clozapine - related thrombogenic myocarditis , Monaldi Archives for Chest Disease: Vol. 82 No. 4 (2014): Cardiac series
- Maddalena Modica, Roberta Carabalona, Rosa Spezzaferri, Monica Tavanelli, A. Torri, Vittorino Ripamonti, Paolo Castiglioni, Renata De Maria, Maurizio Ferratini, Psychological profiles derived by cluster analysis of Minnesota Multiphasic Personality Inventory and long term clinical outcome after coronary artery by pass grafting , Monaldi Archives for Chest Disease: Vol. 78 No. 1 (2012): Cardiac series
- Mario Petretta, Wanda Acampa, Emilia Zampella, Roberta Assante, Maria Piera Petretta, Renato Cuocolo, Irma Fabiani, Giuseppe Luca Della Ratta, Pasquale Perrone-Filardi, Alberto Cuocolo, Imaging techniques for assessment of coronary flow reserve , Monaldi Archives for Chest Disease: Vol. 76 No. 4 (2011): Cardiac series
- Antonello D’Andrea, Giancarlo Scognamiglio, Franco Giordano, Sergio Cuomo, Maria Giovanna Russo, Genny Rinaldi, Raffaele Calabrò, An atypical assessment of Ebstein’s anomaly in an 86-year-old man , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- Ugo Corrà , Massimo Pistono, Alessandro Mezzani, Marco Gnemmi, Franco Tarro Genta, Roberto Caruso, Pantaleo Giannuzzi, Cardiovascular prevention and rehabilitation for patients with ventricular assist device From exercise therapy to long-term therapy Part I: exercise therapy , Monaldi Archives for Chest Disease: Vol. 76 No. 1 (2011): Cardiac series
<< < 21 22 23 24 25 26 27 28 29 30 > >>
You may also start an advanced similarity search for this article.
