Acute heart failure due to COVID-19 related myocardial injury and de novo hypertensive cardiomyopathy: a challenging diagnosis

被引：2

作者：

Pernigo, Matteo ^{[1
]}

Triggiani, Marco ^{[1
]}

Gavazzi, Emanuele ^{[2
]}

Papa, Ilaria ^{[1
]}

Vaccari, Alberto ^{[1
]}

Fisogni, Simona ^{[3
]}

Costantino, Ester ^{[4
]}

Pasini, Gian Franco ^{[1
]}

机构：

[1] La Memoria Hosp, Cardiol Unit, Via Andrea Gosa 74, Gavardo, BS, Italy

[2] Univ Brescia, Dept Med & Surg Specialties, Inst Radiol, Brescia, Italy

[3] Univ Brescia, Inst Anat Pathol, Dept Med & Surg Specialties, Brescia, Italy

[4] La Memoria Hosp, Nephrol Unit, Gavardo, BS, Italy

来源：

MONALDI ARCHIVES FOR CHEST DISEASE | 2022年 / 92卷 / 01期

关键词：

COVID-19; myocarditis; cardiac MRI; hypertensive cardiomyopathy; echocardiography;

D O I：

10.4081/monaldi.2021.1778

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

We report a COVID-19 case with acute heart and kidney failure in a healthy young male. Echocardiography showed severe systolic and diastolic left ventricle dysfunction, with diffuse myocardial thickening. Cardiac MRI showed aspects of focal myocarditis, and hypertensive cardiomyopathy. Renal biopsy demonstrated limited acute tubular injury, and hypertensive kidney disease. Coronary angiography excluded critical stenoses. Unlike what we initially suspected, myocardial inflammation had a limited extent in our patient; severe hypertension causing cardiomyopathy and multi-organ damage, not diagnosed before, was primarily responsible for severe illness. Correct diagnosis and guidelines-directed treatment allowed a favorable course.

引用

页数：5

共 10 条

[1]

Cheng YC, 2020, KIDNEY INT, V97, P829, DOI 10.1016/j.kint.2020.03.005

[2] Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19) [J].

Inciardi, Riccardo M. ;

Lupi, Laura ;

Zaccone, Gregorio ;

Italia, Leonardo ;

Raffo, Michela ;

Tomasoni, Daniela ;

Cani, Dario S. ;

Cerini, Manuel ;

Farina, Davide ;

Gavazzi, Emanuele ;

Maroldi, Roberto ;

Adamo, Marianna ;

Ammirati, Enrico ;

Sinagra, Gianfranco ;

Lombardi, Carlo M. ;

Metra, Marco .

JAMA CARDIOLOGY, 2020, 5 (07) :819-824

[3] COVID-19-related myocarditis in a 21-year-old female patient [J].

Kim, In-Cheol ;

Kim, Jin Young ;

Kim, Hyun Ah ;

Han, Seongwook .

EUROPEAN HEART JOURNAL, 2020, 41 (19) :1859-1859

[4] Special Article - The impact of 2019 novel coronavirus on heart injury: A Systematic review and Meta-analysis [J].

Li, Jing-Wei ;

Han, Tian-Wen ;

Woodward, Mark ;

Anderson, Craig S. ;

Zhou, Hao ;

Chen, Yun-Dai ;

Neal, Bruce .

PROGRESS IN CARDIOVASCULAR DISEASES, 2020, 63 (04) :518-524

[5] Association of Troponin Levels With Mortality in Italian Patients Hospitalized With Coronavirus Disease 2019 Results of a Multicenter Study [J].

Lombardi, Carlo Mario ;

Carubelli, Valentina ;

Iorio, Annamaria ;

Inciardi, Riccardo M. ;

Bellasi, Antonio ;

Canale, Claudia ;

Camporotondo, Rita ;

Catagnano, Francesco ;

Dalla Vecchia, Laura A. ;

Giovinazzo, Stefano ;

Maccagni, Gloria ;

Mapelli, Massimo ;

Margonato, Davide ;

Monzo, Luca ;

Nuzzi, Vincenzo ;

Oriecuia, Chiara ;

Peveri, Giulia ;

Pozzi, Andrea ;

Provenzale, Giovanni ;

Sarullo, Filippo ;

Tomasoni, Daniela ;

Ameri, Pietro ;

Gnecchi, Massimiliano ;

Leonardi, Sergio ;

Merlo, Marco ;

Agostoni, Piergiuseppe ;

Carugo, Stefano ;

Danzi, Gian Battista ;

Guazzi, Marco ;

La Rovere, Maria Teresa ;

Mortara, Andrea ;

Piepoli, Massimo ;

Porto, Italo ;

Sinagra, Gianfranco ;

Volterrani, Maurizio ;

Specchia, Claudia ;

Metra, Marco ;

Senni, Michele .

JAMA CARDIOLOGY, 2020, 5 (11) :1274-1280

[6] Management of acute kidney injury in patients with COVID-19 [J].

Ronco, Claudio ;

Reis, Thiago ;

Husain-Syed, Faeq .

LANCET RESPIRATORY MEDICINE, 2020, 8 (07) :738-742

[7] Acute myocarditis presenting as a reverse Tako-Tsubo syndrome in a patient with SARS-CoV-2 respiratory infection [J].

Sala, Simone ;

Peretto, Giovanni ;

Gramegna, Mario ;

Palmisano, Anna ;

Villatore, Andrea ;

Vignale, Davide ;

De Cobelli, Francesco ;

Tresoldi, Moreno ;

Cappelletti, Alberto Maria ;

Basso, Cristina ;

Godino, Cosmo ;

Esposito, Antonio .

EUROPEAN HEART JOURNAL, 2020, 41 (19) :1861-1862

[8] Impact of heart failure on the clinical course and outcomes of patients hospitalized for COVID-19. Results of the Cardio-COVID-Italy multicentre study [J].

Tomasoni, Daniela ;

Inciardi, Riccardo M. ;

Lombardi, Carlo M. ;

Tedino, Chiara ;

Agostoni, Piergiuseppe ;

Ameri, Pietro ;

Barbieri, Lucia ;

Bellasi, Antonio ;

Camporotondo, Rita ;

Canale, Claudia ;

Carubelli, Valentina ;

Carugo, Stefano ;

Catagnano, Francesco ;

Dalla Vecchia, Laura A. ;

Danzi, Gian Battista ;

Di Pasquale, Mattia ;

Gaudenzi, Margherita ;

Giovinazzo, Stefano ;

Gnecchi, Massimiliano ;

Iorio, Annamaria ;

La Rovere, Maria Teresa ;

Leonardi, Sergio ;

Maccagni, Gloria ;

Mapelli, Massimo ;

Margonato, Davide ;

Merlo, Marco ;

Monzo, Luca ;

Mortara, Andrea ;

Nuzzi, Vincenzo ;

Piepoli, Massimo ;

Porto, Italo ;

Pozzi, Andrea ;

Sarullo, Filippo ;

Sinagra, Gianfranco ;

Volterrani, Maurizio ;

Zaccone, Gregorio ;

Guazzi, Marco ;

Senni, Michele ;

Metra, Marco .

EUROPEAN JOURNAL OF HEART FAILURE, 2020, 22 (12) :2238-2247

[9] Coronaviruses and the cardiovascular system: acute and long-term implications [J].

Xiong, Tian-Yuan ;

Redwood, Simon ;

Prendergast, Bernard ;

Chen, Mao .

EUROPEAN HEART JOURNAL, 2020, 41 (19) :1798-1800

[10] Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study [J].

Zhou, Fei ;

Yu, Ting ;

Du, Ronghui ;

Fan, Guohui ;

Liu, Ying ;

Liu, Zhibo ;

Xiang, Jie ;

Wang, Yeming ;

Song, Bin ;

Gu, Xiaoying ;

Guan, Lulu ;

Wei, Yuan ;

Li, Hui ;

Wu, Xudong ;

Xu, Jiuyang ;

Tu, Shengjin ;

Zhang, Yi ;

Chen, Hua ;

Cao, Bin .

LANCET, 2020, 395 (10229) :1054-1062

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