Reversible cardiac dysfunction in severe COVID-19 infection, mechanisms and case report

Chieh-Ju Chao; Patrick A DeValeria; Ayan Sen; Hong Lee; Dawn M Pedrotty; Bhavesh Patel; Reza Arsanjani; Tasneem Z Naqvi

doi:10.1111/echo.14807

Reversible cardiac dysfunction in severe COVID-19 infection, mechanisms and case report

Echocardiography. 2020 Sep;37(9):1465-1469. doi: 10.1111/echo.14807. Epub 2020 Aug 27.

Authors

Chieh-Ju Chao¹, Patrick A DeValeria², Ayan Sen³, Hong Lee¹, Dawn M Pedrotty¹, Bhavesh Patel³, Reza Arsanjani¹, Tasneem Z Naqvi¹

Affiliations

¹ Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ, USA.
² Department of Cardiovascular Surgery, Mayo Clinic, Scottsdale, AZ, USA.
³ Department of Critical Care Medicine, Mayo Clinic, Scottsdale, AZ, USA.

Abstract

A previously healthy 49-year-old male patient presented with COVID-19 infection and required mechanical ventilation and extracorporeal membrane oxygenation due to severe hypoxemia. Echocardiography showed cardiac dysfunction with an apical sparing strain pattern, which rapidly normalized within a week. Apical sparing myocardial strain in patients with COVID-19 infection may suggest reverse-type stress cardiomyopathy.

Keywords: COVID-19; myocarditis; speckle-tracking strain; stress-induced cardiomyopathy.

Publication types

Case Reports

MeSH terms

COVID-19 / complications*
COVID-19 / physiopathology
Echocardiography / methods*
Heart Ventricles / diagnostic imaging
Heart Ventricles / physiopathology
Humans
Male
Middle Aged
Remission, Spontaneous*
Ventricular Dysfunction, Left / diagnostic imaging*
Ventricular Dysfunction, Left / etiology*
Ventricular Dysfunction, Left / physiopathology