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Heart failure exacerbation as only presenting sign of COVID-19

Daphne-Dominique H Villanueva1, Heather P Lusby1, Shehla P Islam1,2

  • 1University of Florida College of Medicine, Department of Medicine, Division of Infectious Diseases and Global Medicine, Gainesville, FL, United States.

Idcases
|July 2, 2020
PubMed

Insights

This case study highlights a patient initially admitted for heart failure who later developed COVID-19. It underscores the need to investigate cardiac manifestations of severe acute respiratory syndrome coronavirus-2 (SARS-COV-2).

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Virology

Background:

  • COVID-19, caused by SARS-CoV-2, commonly presents with respiratory symptoms.
  • Cardiac complications of SARS-CoV-2 are increasingly recognized but not fully understood.

Observation:

  • A patient with pre-existing heart failure with reduced ejection fraction (HFrEF) was admitted for decompensated heart failure.
  • The patient later developed fever, prompting testing for SARS-CoV-2.

Findings:

  • The case suggests a potential link between SARS-CoV-2 infection and cardiac decompensation.
  • Further research is needed to elucidate the direct cardiac effects of SARS-CoV-2.

Implications:

  • This case broadens the spectrum of clinical presentations associated with SARS-CoV-2.
  • Clinicians should consider cardiac involvement in patients with COVID-19, especially those with underlying cardiovascular conditions.

Keywords:
COVID-19Heart failureSARS-CoV-2

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