MYOCARDIAL INJURY IN PATIENT WITH COVID-19 INFECTION: EXPERIENCE OF A CASE

Nataly Sofia Valdiviezo Allauca; Mayra Alexandra Yauli Santos; Lineth Carolina Zurita Mayorga; Fanny Gabriela Barragan Quishpe; Diana Alexandra Condor Munoz

Volume : IX, Issue : VI, June - 2020

MYOCARDIAL INJURY IN PATIENT WITH COVID-19 INFECTION: EXPERIENCE OF A CASE

Nataly Sofia Valdiviezo Allauca, Mayra Alexandra Yauli Santos, Lineth Carolina Zurita Mayorga, Fanny Gabriela Barragan Quishpe, Diana Alexandra Condor Munoz

Abstract :

The World Health Organization (WHO) on December 31, 2019, was notified by China in the city of Wuhan of several cases of pneumonia of unknown cause. Thus, thanks to the samples obtained from infected people, the existence of a new coronavirus is reported. I call it SARS-CoV-2 and the disease COVID-19; but its rapid spread has led to it being declared a pandemic. The cardiovascular manifestations of COVID-19 infection are still uncertain, the existing literature is scarce. 1 However, several cases of cardiovascular disease have been published, which is a marker of poor prognosis. Acute cardiac injury, defined as significant troponin elevation, is the most commonly reported cardiac abnormality in COVID-19 infection.2 Reason why we present the case of an octogenarian patient, with multiple comorbidities; who developed acute coronary syndrome, shock of mixed etiology and dyspnea in the context of COVID-19 infection. Complications were mainly related to pneumonia and acute respiratory distress syndrome that led to his death. Objective Describe the myocardial injury that Covid-19 infection produces in patients with cardiovascular risk factors. Methodology This is a systematic review of Covid-19 infection and cardiological injury, emphasizing its clinical, laboratory and radiological characteristics. The information and images obtained belong to the medical personnel in charge of the case, whose reinforcements rest on the statistical package Excel, Word and JPG. Conclusion: Most of the information available on cardiac involvement by coronavirus comes from reports of hospitalized patients in Wuhan; who investigated cardiovascular complications based on clinical detection and diagnostic studies. It is for this reason that this case of acute coronary syndrome is presented in a patient with COVID-19 infection, in which his predisposition to suffer a rapid onset shock stands out.