Arq Bras Cardiol: Imagem cardiovasc. 2021; 34(3): eabc216
Myocarditis and Cardiogenic in a Covid-19 Positive Patient
DOI: 10.47593/2675-312X/20213403eabc216
Case Report
A 38-year-old man was taken to the emergency room complaining of chest pain, dyspnea, myalgia, and a significant decline in his general condition. He had a history of hyperthyroidism controlled with thiamazole 5 mg/day and depressive disorder treated with escitalopram 10 mg/day and bupropion 150 mg/day. He had no previous history of infarction, established cardiovascular diseases, or familial sudden death.
The patient reported symptoms of prostration and a dry cough for a few days for which he was tested for severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2) infection at another institution. On admission, the patient was sweating, had cold extremities, and was anxious. His blood pressure was 128/58 mmHg, heart rate was approximately 140 bpm, and peripheral oxygen saturation was 99% on room air. His initial electrocardiogram () revealed an elevated ST-segment in the inferior and lateral wall but no clear evidence of reciprocal changes.
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Keywords: Cardiogenic shock; Coronavirus infections; COVID-19; Myocarditis
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