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Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19

Radhapriya Yalamanchi1, Madhan Kumar Murugan2, Krishnaswamy Chandrasekharan1

  • 1Department of Cardiology, Apollo Main Hospital, Chennai, India.

Texas Heart Institute Journal
|November 30, 2022
PubMed

Insights

Mild COVID-19 can lead to severe, delayed cardiovascular complications. This case highlights serious heart issues like cardiomyopathy and stroke weeks after initial recovery, emphasizing the need for ongoing cardiac monitoring.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • COVID-19 is a novel infectious disease known for multisystemic effects, particularly pulmonary and cardiovascular.
  • Acute cardiovascular manifestations of COVID-19 include myocarditis, arrhythmias, coronary artery thrombosis, and microvascular thrombi.

Observation:

  • A 37-year-old male recovered from mild COVID-19.
  • Weeks post-recovery, he developed severe cardiovascular complications.

Findings:

  • The patient presented with non-ischemic cardiomyopathy, leading to severe left ventricular impairment.
  • Multiple left ventricular thrombi were identified.
  • The patient suffered an embolic stroke secondary to cardiac thrombi.

Implications:

  • This case underscores the potential for delayed and severe cardiovascular sequelae following even mild COVID-19.
  • It highlights the risk of thromboembolic events in patients with COVID-19-associated cardiomyopathy.
  • Long-term cardiovascular surveillance may be warranted in individuals recovering from COVID-19.

Keywords:
COVID-19DCMSARS-CoV-2cardiomyopathy, dilatedcoronary thrombosiscoronavirusembolic strokeheart failurestrokeventricular dysfunction, left

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