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Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia

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,...

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Autores principales: Derveni, Vaia, Kaniaris, Evangelos, Toumpanakis, Dimitris, Potamianou, Efstathia, Ioannidou, Ilianna, Theodoulou, Danai, Kyriakoudi, Anna, Kyriakopoulou, Magda, Pontikis, Konstantinos, Daganou, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331566/
https://www.ncbi.nlm.nih.gov/pubmed/32665890
http://dx.doi.org/10.1016/j.idcr.2020.e00898
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author Derveni, Vaia
Kaniaris, Evangelos
Toumpanakis, Dimitris
Potamianou, Efstathia
Ioannidou, Ilianna
Theodoulou, Danai
Kyriakoudi, Anna
Kyriakopoulou, Magda
Pontikis, Konstantinos
Daganou, Maria
author_facet Derveni, Vaia
Kaniaris, Evangelos
Toumpanakis, Dimitris
Potamianou, Efstathia
Ioannidou, Ilianna
Theodoulou, Danai
Kyriakoudi, Anna
Kyriakopoulou, Magda
Pontikis, Konstantinos
Daganou, Maria
author_sort Derveni, Vaia
collection PubMed
description 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.
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spelling pubmed-73315662020-07-06 Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia Derveni, Vaia Kaniaris, Evangelos Toumpanakis, Dimitris Potamianou, Efstathia Ioannidou, Ilianna Theodoulou, Danai Kyriakoudi, Anna Kyriakopoulou, Magda Pontikis, Konstantinos Daganou, Maria IDCases Article 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. Elsevier 2020-07-02 /pmc/articles/PMC7331566/ /pubmed/32665890 http://dx.doi.org/10.1016/j.idcr.2020.e00898 Text en © 2020 The Authors. Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Derveni, Vaia
Kaniaris, Evangelos
Toumpanakis, Dimitris
Potamianou, Efstathia
Ioannidou, Ilianna
Theodoulou, Danai
Kyriakoudi, Anna
Kyriakopoulou, Magda
Pontikis, Konstantinos
Daganou, Maria
Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
title Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
title_full Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
title_fullStr Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
title_full_unstemmed Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
title_short Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
title_sort acute life-threatening cardiac tamponade in a mechanically ventilated patient with covid-19 pneumonia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331566/
https://www.ncbi.nlm.nih.gov/pubmed/32665890
http://dx.doi.org/10.1016/j.idcr.2020.e00898
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