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Published on: September 19, 2019
The unexpected evolution of myocardial injury while infected with the coronavirus: A COVID-19 case report
J T Doran1,2
1Jean Doran Biokineticist, Letterkenny, Derry and Strabane, Ireland and United Kingdom.
Insights
This case study details a patient with coronavirus disease 2019 (COVID-19) who experienced atypical cardiac symptoms, including T wave inversion on ECG. Early recognition and a coordinated approach are crucial for managing these cardiovascular complications.
Area of Science:
- Cardiology
- Infectious Diseases
- Virology
Background:
- The emergence of a novel coronavirus in December 2019 led to a global pandemic, initially recognized for respiratory symptoms.
- This virus has been associated with cardiovascular complications, including acute myocardial injury and chronic cardiac damage.
Observation:
- A patient presented with symptoms suggestive of mild myocarditis or pericarditis, an atypical manifestation of coronavirus disease 2019 (COVID-19).
- Initial symptoms persisted, leading to emergency department visits and subsequent diagnostic procedures.
Findings:
- Reverse transcription polymerase chain reaction (RT-PCR) confirmed a ribonucleic acid (RNA) viral infection, diagnosing the patient with coronavirus disease 2019 (COVID-19).
- An electrocardiograph (ECG) performed 27 days post-infection revealed T wave inversion, indicating cardiac involvement.
Implications:
- This case underscores the importance of a multidisciplinary approach for managing unexpected patient recovery patterns in COVID-19.
- Developing cardiac-protective strategies and supportive measures is essential for combating viral infections with cardiovascular sequelae.
Background:
A novel virus breakout in December 2019, with diverse clinical manifestations, initially identified as infecting the respiratory system, has spread rapidly around the world, with adverse effects which have caused acute myocardial injury and chronic damage to the cardiovascular system in some individuals.
Aim:
To present a clinical case with the manifestation of COVID-19 suspected to be either a mild case of either myocarditis or pericarditis. This case highlights a relatively atypical presentation of COVID-19 and the value of a coordinated approach to the unexpected sequences of patient recovery patterns that may require further specialist referral and intervention.
Findings:
A ribonucleic acid (RNA) viral infection was confirmed by a polymerase chain reaction with reverse transcription (RT-PCR) and the patient was diagnosed with coronavirus disease 2019 (COVID-19). The presenting symptoms failed to resolve and the patient was admitted to the accident and emergency (A&E) department. Upon the second visit to the A&E department at 27 days postinfection, an electrocardiograph (ECG) was conducted revealing T wave inversion.
Implications:
A coordinated approach is needed to combat the infection, develop cardiac-protective strategies and direct supportive measures.
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