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Severe Heart Failure After Fetal Loss and COVID-19: A Diagnostically Challenging Case With Complicated Timing

Roy Lim1, Rachel R Johnson2, Brian Denney3

  • 1Internal Medicine, Mount Sinai Hospital, Chicago, USA.

Cureus
|May 1, 2023
PubMed

Insights

Coronavirus disease 2019 (COVID-19) can cause heart failure, mimicking peripartum cardiomyopathy. This case highlights the diagnostic challenge in distinguishing these conditions, as no clear algorithm currently exists.

Area of Science:

  • Cardiology
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) primarily affects the respiratory system but has been linked to cardiovascular complications.
  • Peripartum cardiomyopathy is a rare form of heart failure developing towards the end of pregnancy.

Observation:

  • This case presents an atypical overlap between COVID-19-induced heart failure and peripartum cardiomyopathy.
  • The clinical presentation of both conditions can be similar, leading to diagnostic ambiguity.

Findings:

  • Myocardial damage is a recognized complication of COVID-19, potentially leading to heart failure.
  • The study highlights the diagnostic challenge in differentiating COVID-19 heart failure from peripartum cardiomyopathy.

Implications:

  • There is a need for improved diagnostic strategies to distinguish between COVID-19 heart failure and peripartum cardiomyopathy.
  • This distinction is crucial for appropriate patient management and treatment planning.

Keywords:
coronavirus disease 2019covid-19ejection fractionheart failureheart failure patientsheart failure with reduced ejection fractionperipartum cardiomyopathyperipartum dilated cardiomyopathyppcm

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