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

Gil Hevroni¹, Diego Cepeda-Mora¹, Zachary Mostel¹, Luis Lugo¹ and Samy I McFarlane^1,

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

Cite this paper:
Gil Hevroni, Diego Cepeda-Mora, Zachary Mostel, Luis Lugo and 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

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.

Keywords:
heart failure COVID-19 SARS-CoV-2 myocarditis cardiovascular disease

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