Τίτλος:
Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has recently evolved as a pandemic disease. Although the respiratory system is predominantly affected, cardiovascular complications have been frequently identified, including acute myocarditis, myocardial infarction, acute heart failure, arrhythmias and venous thromboembolic events. Pericardial disease has been rarely reported. We present a case of acute life-threatening cardiac tamponade caused by a small pericardial effusion in a mechanically ventilated patient with severe COVID-19 associated pneumonia. The patient presented acute circulatory collapse with hemodynamic features of cardiogenic or obstructive shock. Bedside echocardiography permitted prompt diagnosis and life-saving pericardiocentesis. Further investigation revealed no other apparent cause of pericardial effusion except for SARS-CoV-2 infection. Cardiac tamponade may complicate COVID-19 and should be included in the differential diagnosis of acute hemodynamic deterioration in mechanically ventilated COVID-19 patients. © 2020
Συγγραφείς:
Derveni, V.
Kaniaris, E.
Toumpanakis, D.
Potamianou, E.
Ioannidou, I.
Theodoulou, D.
Kyriakoudi, A.
Kyriakopoulou, M.
Pontikis, K.
Daganou, M.
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
azithromycin; C reactive protein; colchicine; D dimer; ferritin; hydroxychloroquine; hypertensive agent; interleukin 6; troponin I, aged; aortic dissection; Article; case report; clinical article; coronavirus disease 2019; electrocardiography; heart infarction; heart tamponade; human; leukocyte count; leukocytosis; life threat; lung emphysema; male; multidrug resistant Acinetobacter baumannii; multiple organ failure; myocarditis; pericardial effusion; pericardiocentesis; positive end expiratory pressure; priority journal; pulmonary embolism response team; reverse transcription polymerase chain reaction; septic shock; Severe acute respiratory syndrome coronavirus 2; ST segment elevation; tension pneumothorax; thorax radiography; throat culture; tidal volume; transthoracic echocardiography; ventilated patient; very elderly
DOI:
10.1016/j.idcr.2020.e00898
