tetano
Editor, Senior Moderator
Cardiol Res
. 2020 Jun;11(3):196-199.
doi: 10.14740/cr1074. Epub 2020 May 3.
Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
Yasar Sattar[SUP] 1 [/SUP], Michael Connerney[SUP] 1 [/SUP], Waqas Ullah[SUP] 2 [/SUP], Hiba Rauf[SUP] 3 [/SUP], Sahil Mamtani[SUP] 4 [/SUP], Stephen Luddington[SUP] 5 [/SUP], M Chadi Alraies[SUP] 5 [/SUP]
Affiliations
Abstract
A 67-year-old man with a prior heart failure presented with fever, cough and dyspnea for 4 days. Physical examination showed bilateral rales on the lung exam, yet no lower extremity edema. The combination of symptoms, elevated inflammatory markers, normal baseline pro-B-type natriuretic peptide, PaO[SUB]2[/SUB]/FiO[SUB]2[/SUB] < 300 and positive swab suggested coronavirus disease 2019 (COVID-19) with acute respiratory distress syndrome (ARDS) rather than heart failure exacerbation. We discuss the challenges in management of ARDS in COVID-19 patients that may initially mimic as acute exacerbation of heart failure.
Keywords: ARDS; COVID-19; Heart failure; Novel human coronavirus.
. 2020 Jun;11(3):196-199.
doi: 10.14740/cr1074. Epub 2020 May 3.
Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink
Yasar Sattar[SUP] 1 [/SUP], Michael Connerney[SUP] 1 [/SUP], Waqas Ullah[SUP] 2 [/SUP], Hiba Rauf[SUP] 3 [/SUP], Sahil Mamtani[SUP] 4 [/SUP], Stephen Luddington[SUP] 5 [/SUP], M Chadi Alraies[SUP] 5 [/SUP]
Affiliations
- PMID: 32494330
- PMCID: PMC7239589
- DOI: 10.14740/cr1074
Abstract
A 67-year-old man with a prior heart failure presented with fever, cough and dyspnea for 4 days. Physical examination showed bilateral rales on the lung exam, yet no lower extremity edema. The combination of symptoms, elevated inflammatory markers, normal baseline pro-B-type natriuretic peptide, PaO[SUB]2[/SUB]/FiO[SUB]2[/SUB] < 300 and positive swab suggested coronavirus disease 2019 (COVID-19) with acute respiratory distress syndrome (ARDS) rather than heart failure exacerbation. We discuss the challenges in management of ARDS in COVID-19 patients that may initially mimic as acute exacerbation of heart failure.
Keywords: ARDS; COVID-19; Heart failure; Novel human coronavirus.