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
- Berardo Sarubbi, Gabriella Farina, Diego Colonna, Anna Correra, Emanuele Romeo, Giovanni Domenico Ciriello, Guido Oppido, Maria Giovanna Russo, Subcutaneous finger cardioverter-defibrillator in low weight paediatric patients: a case series , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- F. Salajka, V. BartoÅ¡, J. Novosad, J. Å t'ásek, J. Bis, M. Brtko, P. Polanský, V. KoblÞek, V. Sedlák, Failure of noninvasive prediction of pulmonary hypertension in patients with idiopathic pulmonary fibrosis , Monaldi Archives for Chest Disease: Vol. 75 No. 3 (2011): Pulmonary series
- Sotirios Moraitis, Apostolos Perelas, Panagiotis Hountis, Dimitrios Moraitis, Maria Chounti, Eirini Rogdaki, Two foreign bodies embedded in the intraventricular septum: A case report , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- P.L. Temporelli, M. Ambrosetti, Pulmonary complications after cardiac surgery: breathing down the patient’s neck , Monaldi Archives for Chest Disease: Vol. 75 No. 2 (2011): Pulmonary series
- Elisabetta Zampogna, Nicolino Ambrosino, Federico Mattia Oliva, Giovanni Sotgiu, Laura Saderi, Gioele Cremonese, Giorgio Bellelli, Antonio Spanevello, Fabio Angeli, Dina Visca, Heart rate recovery in adult individuals with asthma , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Giorgio Berlot, Antonella Vergolini, Cristina Calderan, Rossana Bussani, Lucio Torelli, Umberto Lucangelo, Acute myocardial infarction in non-cardiac critically ill patients: a clinical-pathological study , Monaldi Archives for Chest Disease: Vol. 74 No. 4 (2010): Cardiac series
- Commissione Cardiocerebrovascolare, Continuity of care in patients with cardiac failure after acute event , Monaldi Archives for Chest Disease: Vol. 74 No. 2 (2010): Cardiac series
- Gerson Cipriano Jr, Graziella França Bernardelli, Ross Arena, Luis Vicente Franco Oliveira, Francisco Valdez, João Nelson Rodrigues Branco, Cardio-respiratory responses of the 6-minute walk test in patients with refractory heart failure during the preoperative period for heart transplant surgery , Monaldi Archives for Chest Disease: Vol. 74 No. 2 (2010): Cardiac series
- Ornella Bettinardi, Letizia da Vico, Antonia Pierobon, Manuela Iannucci, Barbara Maffezzoni, Silvana Borghi, Marina Ferrari, Silvia Brazzo, Antonio Mazza, Marinella Sommaruga, Elisabetta Angelino, Barbara Biffi, Susanna Agostini, Maria Luisa Masini, Marco Ambrosetti, Pompilio Faggiano, Raffaele Griffo, First definition of Minimal Care model: the role of nurses, physiotherapists, dietitians and psychologists in preventive and rehabilitative cardiology , Monaldi Archives for Chest Disease: Vol. 82 No. 3 (2014): Cardiac series
- Francesco Fattirolli, Considerations on Cardiac Rehabilitation: the paradigm of complexity , Monaldi Archives for Chest Disease: Vol. 82 No. 3 (2014): Cardiac series
<< < 22 23 24 25 26 27 28 29 30 31 > >>
You may also start an advanced similarity search for this article.
