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
- Giulia Mattesi, Maria Teresa Savo, Morena De Amicis, Filippo Amato, Elena Cozza, Simone Corradin, Stefano Da Pozzo, Marco Previtero, Riccardo Bariani, Giorgio De Conti, Ilaria Rigato, Valeria Pergola, Raffaella Motta, Coronary artery calcium score: we know where we are but not where we may be , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Francesco Vetta, Giampaolo Vetta, Sonia Bracchitta, Maria Mignano, Antonella Mattatelli, Cardiac resynchronization therapy in the elderly. How much is it safe and beneficial? , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Shi-Min Yuan, Amihay Shinfeld, Ehud Raanani, Mitral valve cleft associated with secundum atrial septal defect: case report and review of the literature , Monaldi Archives for Chest Disease: Vol. 68 No. 1 (2007): Cardiac series
- Massimo F. Piepoli, Antonio Brambilla, Lorenzo Brambilla, Claudio Ceconi, Paolo Coruzzi, Ursula Corvi, Tommaso Diaco, Giuseppe Di Pasquale, Alessandro Malagoli, Giuseppe Miserotti, Andrea Pozzati, Pier Luigi Semprini, Enrico Sverzellati, Stefano Urbinati, Giovanni Q. Villani, Preventive Cardiology: comparisons of European and Italian projects with the Cardiac Units from Emilia Romagna region. A workshop of IACPR/GICR - Emilia Romagna , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- Kenan Yalta, Ugur Ozkan, Tülin Yalta, Ertan Yetkin, Cardiac myxoma as a potential trigger of takotsubo cardiomyopathy: A brief review on mechanistic and clinical perspectives , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Antonio D’Aloia, Enrico Vizzardi, Pompilio Faggiano, Claudia Fiorina, Livio Dei Cas, Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report , Monaldi Archives for Chest Disease: Vol. 68 No. 1 (2007): Cardiac series
- Angelo Compare, Riccardo Proietti, Domenico Del Forno, Alessandra Vitelli, Alessandra Grieco, Luigi Maresca, Francesco Giallauria, Vulnerable personality and Takotsubo cardiomyopathy consequent to emotional stressful events: a clinical case report , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- Mario Sorice, Francesco Paolo Tritto, Chiara Sordelli, Rosario Gregorio, Luigi Piazza, N-3 polyunsaturated fatty acids reduces post-operative atrial fibrillation incidence in patients undergoing “on-pump†coronary artery bypass graft surgery , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- Raffaele Griffo, Selection criteria for referral to in-hospital intensive cardiac rehabilitation after transcatheter aortic-valve implantation , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- Ugo Corrà , Massimo F. Piepoli, Summary Statement on Cardiopulmonary Exercise Testing in Chronic Heart Failure due to Left Ventricular Dysfunction Recommendations for Performance and Interpretation , Monaldi Archives for Chest Disease: Vol. 68 No. 1 (2007): Cardiac series
<< < 4 5 6 7 8 9 10 11 12 13 > >>
You may also start an advanced similarity search for this article.
