Key result
A 77-year-old woman with post-acute COVID-19 syndrome developed pericarditis, acute kidney damage, and Takotsubo syndrome with an ejection fraction of 15%, ultimately resulting in fatal cardiac arrest.
Why the study?
Cardiovascular complications such as pericarditis and Takotsubo syndrome can arise in acute or post-acute COVID-19 and frequently cause hospitalization and death.
Case Report (n=1)
Post-acute COVID-19 syndrome can present with severe cardiac complications including pericarditis and Takotsubo syndrome leading to fatal outcomes.
Raises awareness for fatal cardiac complications in post-acute COVID-19; hypothesis-generating and should not yet change practice.
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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Zalewska-Adamiec et al. (2022) conducted a case report in Post-Acute COVID-19 Syndrome (n=1). Post-acute COVID-19 syndrome was evaluated on Clinical course (Pericarditis, Takotsubo syndrome, cardiac arrest, death). A 77-year-old woman with post-acute COVID-19 syndrome developed pericarditis, acute kidney damage, and Takotsubo syndrome with an ejection fraction of 15%, ultimately resulting in fatal cardiac arrest.
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