April 23, 2020JACC Case Reports183 citationsOpen Access

Cardiac Tamponade Secondary to COVID-19

MDMohammed Dabbagh LALindsey Aurora PDPenny D’Souza

Structured PICO

Population

A 67-year-old woman with COVID-19 who developed a large hemorrhagic pericardial effusion with echocardiographic signs of tamponade, mild left ventricular impairment, and takotsubo cardiomyopathy (n=1).

Intervention

Pericardiocentesis, colchicine, corticosteroids, and hydroxychloroquine

Outcome

Improvement in symptoms

COVID-19 can present with severe cardiac complications including hemorrhagic pericardial effusion with tamponade and takotsubo cardiomyopathy.

Abstract

A 67-year-old woman presented with upper respiratory symptoms and was diagnosed with coronavirus disease-2019 (COVID-19). She was found to have a large hemorrhagic pericardial effusion with echocardiographic signs of tamponade and mild left ventricular impairment. Clinical course was complicated by development of takotsubo cardiomyopathy. She was treated with pericardiocentesis, colchicine, corticosteroids, and hydroxychloroquine, with improvement in symptoms. (Level of Difficulty: Intermediate.)

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