COVID-19: Cardiovascular involvement without pulmonary signs.

Abstract

Sars-COV2 usually has a flu-like condition with possible progression to lung involvement. Isolated cardiac involvement has a slight frequency and present as arrhythmias, pericarditis or myocarditis.This is a rare case of COVID-1 patient, without pulmonary involvement with pericarditis, pericardial effusion and focal left ventricular impaired contraction.

COVID-19 Suspected myopericarditis without pulmonary involvement

“…Additionally, 20% were found to have a pericardial effusion>1cm 7 , 11 . The degree of cardiac involvement thus may or may not correlate well with pulmonary involvement as demonstrated by this case and priors 3 , 8 , 9 . Patients may also not present in the acute phase of the illness as our patient repeatedly tested negative on PCR testing for SARS-CoV-2 but positive on antibody testing.…”

“…Despite increased reports of myocardial injury related to COVID-19; the exact pathophysiologic mechanisms remain unclear 10 . Although extremely rare, COVID-19 can present without pulmonary involvement, and there have been rare reports of isolated cardiac involvement 8 , 9 . These prior cases however; either did not require ICU admission, or had a more typical presentation of COVID-19 such as headache, odynophagia, and nasal congestion.…”