Cardiac Abnormalities in COVID-19 Patients: Should a Cardiac Echocardiogram be Routine?

  • Carina Ramalho Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
  • Mariana Almeida Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
  • Francisco Gomes Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
  • Magda Silva Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
  • Silvia Rodrigues Centro Hospitalar Barreiro Montijo, Barreiro, Portugal

Keywords

SARS-CoV-2, COVID-19, Left Ventricular Thrombus, heart failure

Abstract

Current scientific evidence shows that SARS-CoV-2 infection is associated with an increased risk of thromboembolic events. In patients with ischaemic heart disease and heart failure, thrombi of the left ventricle can increase patient mortality, mainly due to the risk of systemic embolization. Given the hypercoagulable state associated with COVID-19, such events may be more likely. We describe a patient hospitalized for congestive heart failure and SARS-CoV-2 infection who was diagnosed with a thrombus in the left ventricle. After the thrombus was identified on echocardiography and treated with anticoagulation, it completely resolved and cardiac function improved.

VIEW THE ENTIRE ARTICLE

References

  • Kaki A, Singh H, Cohen G, Schreiber T. A case report of a large intracardiac thrombus in a COVID-19 patient managed with percutaneous thrombectomy and right ventricular mechanical circulatory support. Eur Hear J Case Rep 2020;4(6):1–5. doi:10.1093/ehjcr/ytaa308
  • Wang T, Chen R, Liu C, Liang W, Guan W, Tang R, et al. Attention should be paid to venous thromboembolism prophylaxis in the management of COVID-19. Lancet Haematol 2020;7(5):e362–e363. doi:10.1016/S2352-3026(20)30109-5
  • Reid N, Carey D, Lang M, Som A, Cochran RL, Alkasab T, et al. Intracardiac and aortic thrombi in the setting of SARS-CoV-2 infection. Eur Hear J Case Rep 2020;4(FI1):1–2. doi:10.1093/ehjcr/ytaa199
  • Skulstad H, Cosyns B, Popescu BA, Galderisi M, Di Salvo G, Donal E, et al. COVID-19 pandemic and cardiac imaging: EACVI recommendations on precautions, indications, prioritization, and protection for patients and healthcare personnel. Eur Heart J Cardiovasc Imaging 2020;21(6):592–598. doi:10.1093/ehjci/jeaa072
  • Dweck MR, Bularga A, Hahn RT, Bing R, Lee KK, Chapman AR, et al. Global evaluation of echocardiography in patients with COVID-19. Eur Heart J Cardiovasc Imaging 2020;21(9):949–958. doi:10.1093/ehjci/jeaa178
  • Benyounes N, Van Der Vynckt C, Tibi S, Iglesias A, Salomon L, Gout O, et al. Echocardiography in confirmed and highly suspected symptomatic COVID-19 patients and its impact on treatment change. Cardiol Res Pract 2020;2020:4348598. doi:10.1155/2020/4348598.
  • Published: 2021-05-14

    Issue: 2021: Vol 8 No 5 (view)

    Section: Articles

    How to cite:
    1.
    Ramalho C, Almeida M, Gomes F, Silva M, Rodrigues S. Cardiac Abnormalities in COVID-19 Patients: Should a Cardiac Echocardiogram be Routine?. EJCRIM 2021;8 doi:10.12890/2021_002559.

    Most read articles by the same author(s)