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Petrilli CM, Jones SA, Yang J, Rajagopalan H, O’Donnell LF, Chernyak Y, Tobin K, Cerfolio RJ, Francois F, Horwitz LI. Factors associated with hospitalization and critical illness among 4,103 patients with COVID-19 disease in New York City.medRxiv.

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Article

Acute Decompensated Heart Failure in a Young Patient Infected with COVID-19

1Department of Internal Medicine, SUNY-Downstate Health Science University, Brooklyn, New York, USA11203


American Journal of Medical Case Reports. 2021, Vol. 9 No. 3, 163-166
DOI: 10.12691/ajmcr-9-3-8
Copyright © 2021 Science and Education Publishing

Cite this paper:
Gil Hevroni, Diego Cepeda-Mora, Zachary Mostel, Luis Lugo, Samy I McFarlane. Acute Decompensated Heart Failure in a Young Patient Infected with COVID-19. American Journal of Medical Case Reports. 2021; 9(3):163-166. doi: 10.12691/ajmcr-9-3-8.

Correspondence to: Samy  I McFarlane, Department of Internal Medicine, SUNY-Downstate Health Science University, Brooklyn, New York, USA11203. Email: smcfarlane@downstate.edu

Abstract

While patients with severe COVID-19 infection often have cardiovascular comorbidities, there is a paucity of literature outlining the potential of this novel coronavirus to trigger acute decompensated heart failure. To date, there is limited understanding of the pathophysiology of heart failure in COVID-19; some suggest decompensation is a result of an incident episode of myocarditis as seen with other respiratory viruses. Here we present a case of a 25 year old man with no known cardiovascular disease, who presented with acute decompensated heart failure found to have an ejection fraction of ten percent in the setting of COVID-19 infection and subsequently had multiple admissions for heart failure decompensation. An extensive work-up was performed and ruled out cardiovascular and rheumatological causes of heart failure, making COVID-19 infection a plausible etiologic factor for heart failure.

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