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Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman

The SARS-CoV-2 virus infection most often takes the form of acute COVID-19 respiratory disease, but in some patients, it turns into acute COVID-19 syndrome after a few weeks. Cardiac complications occur in the form of acute and post-acute diseases and the most common are myocarditis, pericarditis, a...

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Autores principales: Zalewska-Adamiec, Malgorzata, Bachorzewska-Gajewska, Hanna, Dobrzycki, Slawomir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600119/
https://www.ncbi.nlm.nih.gov/pubmed/36291993
http://dx.doi.org/10.3390/diagnostics12102304
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author Zalewska-Adamiec, Malgorzata
Bachorzewska-Gajewska, Hanna
Dobrzycki, Slawomir
author_facet Zalewska-Adamiec, Malgorzata
Bachorzewska-Gajewska, Hanna
Dobrzycki, Slawomir
author_sort Zalewska-Adamiec, Malgorzata
collection PubMed
description The SARS-CoV-2 virus infection most often takes the form of acute COVID-19 respiratory disease, but in some patients, it turns into acute COVID-19 syndrome after a few weeks. Cardiac complications occur in the form of acute and post-acute diseases and the most common are myocarditis, pericarditis, arrhythmias, and acute coronary syndromes or Takotsubo syndrome. Cardiovascular complications are often the cause of hospitalization and death in COVID-19 patients. We present the case of a 77-year-old woman who was admitted to the clinic with suspected myocardial infarction. Coronary arteriography revealed atherosclerotic wall lesions, and echocardiography showed a good contractility of the left ventricle and fluid in the pericardial sac. Pericarditis was diagnosed. In the following days, acute kidney damage was observed, and one hemodialysis session was performed. On the sixth day of hospitalization, a sudden cardiac arrest occurred, and the patient was resuscitated. The echocardiogaphy showed abnormal contractility of the left ventricular with the ejection fraction of 15%—Takotsubo image. After a few hours, a cardiac arrest occurred again, and the patient died.
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spelling pubmed-96001192022-10-27 Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman Zalewska-Adamiec, Malgorzata Bachorzewska-Gajewska, Hanna Dobrzycki, Slawomir Diagnostics (Basel) Interesting Images The SARS-CoV-2 virus infection most often takes the form of acute COVID-19 respiratory disease, but in some patients, it turns into acute COVID-19 syndrome after a few weeks. Cardiac complications occur in the form of acute and post-acute diseases and the most common are myocarditis, pericarditis, arrhythmias, and acute coronary syndromes or Takotsubo syndrome. Cardiovascular complications are often the cause of hospitalization and death in COVID-19 patients. We present the case of a 77-year-old woman who was admitted to the clinic with suspected myocardial infarction. Coronary arteriography revealed atherosclerotic wall lesions, and echocardiography showed a good contractility of the left ventricle and fluid in the pericardial sac. Pericarditis was diagnosed. In the following days, acute kidney damage was observed, and one hemodialysis session was performed. On the sixth day of hospitalization, a sudden cardiac arrest occurred, and the patient was resuscitated. The echocardiogaphy showed abnormal contractility of the left ventricular with the ejection fraction of 15%—Takotsubo image. After a few hours, a cardiac arrest occurred again, and the patient died. MDPI 2022-09-24 /pmc/articles/PMC9600119/ /pubmed/36291993 http://dx.doi.org/10.3390/diagnostics12102304 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Zalewska-Adamiec, Malgorzata
Bachorzewska-Gajewska, Hanna
Dobrzycki, Slawomir
Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman
title Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman
title_full Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman
title_fullStr Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman
title_full_unstemmed Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman
title_short Pericarditis and Takotsubo Syndrome—Diagnosis of Cardiac Complications of Post-Acute COVID-19 Syndrome in a 77-Year-Old Woman
title_sort pericarditis and takotsubo syndrome—diagnosis of cardiac complications of post-acute covid-19 syndrome in a 77-year-old woman
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600119/
https://www.ncbi.nlm.nih.gov/pubmed/36291993
http://dx.doi.org/10.3390/diagnostics12102304
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