Myocardial Localization of Coronavirus in COVID-19 Cardiogenic Shock
University of Pavia · Intensive Care Foundation · +4 more institutions
Abstract
We describe the first case of acute cardiac injury directly linked to myocardial localization of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a 69-year-old patient with flu-like symptoms rapidly degenerating into respiratory distress, hypotension, and cardiogenic shock. The patient was successfully treated with venous-arterial extracorporeal membrane oxygenation (ECMO) and mechanical ventilation. Cardiac function fully recovered in 5 days and ECMO was removed. Endomyocardial biopsy demonstrated low-grade myocardial inflammation and viral particles in the myocardium suggesting either a viraemic phase or, alternatively, infected macrophage migration from the lung.
Citation impact
- FWCI
- 22.73
- Percentile
- 100%
- References
- 16
Authors
16- GTGuido Tavazzi
University of Pavia, Intensive Care Foundation, Policlinico San Matteo Fondazione, Istituti di Ricovero e Cura a Carattere Scientifico
- CPCarlo Pellegrini
University of Pavia, Intensive Care Foundation, Policlinico San Matteo Fondazione, Istituti di Ricovero e Cura a Carattere Scientifico
- MMM. Maurelli
Intensive Care Foundation, Policlinico San Matteo Fondazione, Istituti di Ricovero e Cura a Carattere Scientifico
- MBMirko Belliato
Intensive Care Foundation, Policlinico San Matteo Fondazione, Istituti di Ricovero e Cura a Carattere Scientifico
- FSFabio Sciutti
Intensive Care Foundation, Policlinico San Matteo Fondazione, Istituti di Ricovero e Cura a Carattere Scientifico
Topics & keywords
- Cardiogenic shock
- Medicine
- Extracorporeal membrane oxygenation
- Cardiology
- Shock (circulatory)
- Coronavirus disease 2019 (COVID-19)
- Internal medicine
- Heart failure
- Good health and well-being