Arq. Bras. Cardiol. 2020; 115(1): 139-141
Myocardial Injury in COVID-19: a Challenge for Clinical Cardiologists
Roberto Cintra de Azevedo Aragão
, Mariana Carvalho Alves, Hellen Dutra Passos, Luiz Flavio Galvão Gonçalves, Leonardo Baumworcel, José Augusto Soares Barreto Filho
A 39-year-old male patient, with no previous comorbidities, was admitted to the emergency department presenting intense chest pain, associated with nausea, sweating, and mild respiratory distress. The pain was oppressive, and it radiated to both shoulders. The patient reported onset of asthenia, lack of appetite, and fever (38.9 ºC) 2 days prior, and he presented with polymorphic erythematous skin lesions on his back 1 day after admission.
Physical examination revealed the following: blood pressure = 140/100 mmHg, heart rate = 90 bpm, no fever, SpO2= 98% in room air, regular cardiac rhythm with 2 beats, no murmurs, clean lungs, good peripheral perfusion, and no edema.
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Keywords: Cardiac Injury; Cardiovascular Diseases; Chest Pain; Coronavirus; COVID-19; Myocarditis; Pandemic
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