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Case Reports
. 2020 Jul 15;2(9):1326-1330.
doi: 10.1016/j.jaccas.2020.04.009. Epub 2020 Apr 23.

Cardiac Tamponade Secondary to COVID-19

Mohammed F Dabbagh  1 , Lindsey Aurora  1 , Penny D'Souza  1 , Allison J Weinmann  2 , Pallavi Bhargava  2 , Mir B Basir  1
Affiliations
Case Reports

Cardiac Tamponade Secondary to COVID-19

Mohammed F Dabbagh et al. JACC Case Rep. .

Abstract

A 67-year-old woman presented with upper respiratory symptoms and was diagnosed with coronavirus disease-2019 (COVID-19). She was found to have a large hemorrhagic pericardial effusion with echocardiographic signs of tamponade and mild left ventricular impairment. Clinical course was complicated by development of takotsubo cardiomyopathy. She was treated with pericardiocentesis, colchicine, corticosteroids, and hydroxychloroquine, with improvement in symptoms. (Level of Difficulty: Intermediate.).

Keywords: COVID-19; COVID-19, coronavirus disease-2019; ECG, electrocardiography; LDH, lactate dehydrogenase; LVEF, left ventricular ejection fraction; RR, reference range; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; TTC, takotsubo cardiomyopathy; TTE, transthoracic echocardiography; cTnI, cardiac troponin I; pericardial effusion; takotsubo cardiomyopathy; tamponade.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Imaging on Initial Presentation Chest x-ray film (left) and chest computed tomography (right) showing no acute lung disease. Cardiac silhouette appears normal.
Figure 2
Figure 2
Chest X-Ray Film and Electrocardiography on Second Presentation (Left) Chest x-ray film: enlarged cardiac silhouette. (Right) Electrocardiography: normal sinus rhythm with low-voltage QRS complex in limb leads and nonspecific ST-segment changes in precordial leads.
Figure 3
Figure 3
Electrocardiogram After Pericardiocentesis Electrocardiography: sinus rhythm with deep T-wave inversions in precordial leads V2 to V6.
See this image and copyright information in PMC

References

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