Selected article for: "acute respiratory syndrome and lvef left ventricular ejection fraction"

Author: Pascariello, Greta; Cimino, Giuliana; Calvi, Emiliano; Bernardi, Nicola; Grigolato, Michele; Garyfallidis, Polyxeni; Fabbricatore, Davide; Pezzola, Elisa; Lombardi, Carlo M.; Metra, Marco; Vizzardi, Enrico
Title: Cardiogenic Shock due to COVID-19-Related Myocarditis in a 19-Year-Old Autistic Patient
  • Cord-id: twgmf1qn
  • Document date: 2020_6_29
  • ID: twgmf1qn
    Snippet: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is mainly responsible for respiratory involvement but cardiac complications are also reported. Nevertheless, potential life-threatening conditions in young people have not been described. A 19-year-old male autistic patient was admitted with fever and cough. The chest radiography showed viral pneumonia and the nasopharyngeal swab detected SARS-CoV-2. He rapidly developed hypotension, oliguria and increased myocardial injury markers and
    Document: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is mainly responsible for respiratory involvement but cardiac complications are also reported. Nevertheless, potential life-threatening conditions in young people have not been described. A 19-year-old male autistic patient was admitted with fever and cough. The chest radiography showed viral pneumonia and the nasopharyngeal swab detected SARS-CoV-2. He rapidly developed hypotension, oliguria and increased myocardial injury markers and was treated with adrenaline, antiviral drugs and mechanical ventilation. Echocardiography revealed diffuse myocardial hypo-akinesia and decreased left ventricular ejection fraction (LVEF). After several days of treatment, the patient was weaned off mechanical ventilation, LVEF recovered to 50% and laboratory tests showed a decrease of markers of myocardial injury. Coronavirus disease 2019 (COVID-19) can therefore severely affect myocardium with life-threatening complications and even young people can be involved.

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