Open AccessCritically Ill Patients with Variable Heart Failure in Severe COVID-19 Disease: A Case Series
Author(s) -
Joanne Michelle D. Gomez,
Mary Potkonjak,
Maria Isabel Camara Planek,
Prutha Lavani,
Karolina Marinescu,
Tisha Suboc
Publication year - 2021
Publication title -
integrative journal of medical sciences
Language(s) - English
Resource type - Journals
ISSN - 2658-8218
DOI - 10.15342/ijms.2021.336
Subject(s) - medicine , cardiogenic shock , heart failure , intensive care medicine , disease , cardiomyopathy , hydroxychloroquine , pulmonary embolism , cardiology , respiratory failure , concomitant , covid-19 , shock (circulatory) , atrial fibrillation , critically ill , myocardial infarction , infectious disease (medical specialty)
COVID-19 disease, while primarily a respiratory disease, has proven itself a multi-system disorder with profound cardiovascular sequelae. In patients with SARS-CoV-2 infection, effective early diagnosis and management of concomitant cardiovascular manifestations of the disease are key to favorable outcomes. Here we present a case series of three patients with varied cardiovascular presentations of severe COVID-19 illness: cardiogenic shock from Takotsubo cardiomyopathy, arrhythmia in a patient with suspected hydroxychloroquine-associated cardiomyopathy, and right-sided heart failure with obstructive shock in the setting of massive pulmonary embolism. Through our experience, we aim to provide a better understanding of the unique spectrum of the cardiovascular effects of severe COVID-19 disease to guide management of the critically ill.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom