Acute Pericarditis and Cardiac Tamponade in a Patient with COVID-19: A Therapeutic Challenge
  • Talal Asif
    Division of Cardiology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA
  • Kameel Kassab
    Division of Cardiology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA
  • Fady Iskander
    John H. Stroger, Jr. Hospital of Cook County
  • Tareq Alyousef
    Division of Cardiology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA

Keywords

COVID-19, acute pericarditis, cardiac tamponade

Abstract

We report a case of acute viral pericarditis and cardiac tamponade in a patient with COVID-19 to highlight the associated treatment challenges, especially given the uncertainty associated with the safety of standard treatment. We also discuss complications associated with delayed diagnosis in patients who potentially may need mechanical ventilation.

VIEW THE ENTIRE ARTICLE

References

  • Fried JA, Ramasubbu K, Bhatt R, Topkara VK, Clerkin KJ, Horn E, et al. The variety of cardiovascular presentations of COVID-19. Circulation2020 Apr 3. doi: 10.1161/CIRCULATIONAHA.120.047164 [Epub ahead of print].

  • Shi S, Qin M, Shen B, Cai Y, Liu T, Yang F, et al. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China. JAMA Cardiol 2020 Mar 25. doi: 10.1001/jamacardio.2020.0950 [Epub ahead of print].

  • Hua A, O'Gallagher K, Sado D, Byrne J. Life-threatening cardiac tamponade complicating myo-pericarditis in COVID-19. Eur Heart J 2020 Mar 30. pii: ehaa253. doi: 10.1093/eurheartj/ehaa253 [Epub ahead of print].

  • Dabbagh MF, Aurora L, D'Souza P, Weinmann AJ, Bhargava P, Basir MB. Cardiac tamponade secondary to COVID-19. JACC Case Rep 2020 Apr 23. doi: 10.1016/j.jaccas.2020.04.009 [Epub ahead of print].

  • Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, Tomasoni D, et al. Cardiac involvement in a patient with coronavirus disease 2019 (COVID-19). JAMA Cardiol 2020 Mar 27. doi: 10.1001/jamacardio.2020.1096 [Epub ahead of print].

  • Russell B, Moss C, Rigg A, Van Hemelrijck M. COVID-19 and treatment with NSAIDs and corticosteroids: should we be limiting their use in the clinical setting? Ecancermedicalscience 2020;14:1023.

  • Ho AM, Graham CA, Ng CS, Yeung JH, Dion PW, Critchley LA, et al. Timing of tracheal intubation in traumatic cardiac tamponade: a word of caution. Resuscitation 2009;80(2):272–274.

  • Welt FGP, Shah PB, Aronow HD, Bortnick AE, Henry TD, Sherwood MW, et al. Catheterization laboratory considerations during the coronavirus (COVID-19) pandemic: from ACC's Interventional Council and SCAI. J Am Coll Cardiol 2020 Mar 16. pii: S0735-1097(20)34566-6. doi: 10.1016/j.jacc.2020.03.021 [Epub ahead of print].

  • Centers for Disease Control and Prevention. Interim clinical guidance for management of patients with confirmed coronavirus disease (COVID-19): medications. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html#Medications (accessed 24 April 2020).

  • Adler Y, Charron P, Imazio M, Badano L, Barón-Esquivias G, Bogaert J, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2015;36(42):2921–2964.

  • O'Gara PT, Kushner FG, Ascheim DD, Casey DE, Chung MK, de Lemos JA, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the American College of Emergency Physicians and Society for Cardiovascular Angiography and Interventions. Catheter Cardiovasc Interv 2013;82(1):E1–E27.

  • US Food and Drug Administration. FDA advises patients on use of non-steroidal anti-inflammatory drugs (NSAIDs) for COVID-19. Available from: https://www.fda.gov/drugs/drug-safety-and-availability/fda-advises-patients-use-non-steroidal-anti-inflammatory-drugs-nsaids-covid-19 (accessed 5 May 2020).

    • Views: 2763
    HTML downloads: 1721
    PDF downloads: 1111

    Published: 2020-05-06
    Issue: 2020: Vol 7 No 6 (view)

    How to cite:
    1.
    Asif T, Kassab K, Iskander F, Alyousef T. Acute Pericarditis and Cardiac Tamponade in a Patient with COVID-19: A Therapeutic Challenge. EJCRIM 2020;7 doi:10.12890/2020_001701.