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:: Scientific Journal of Kurdistan University of Medical Sciences - No 2, 2022 ::
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Concomitant treatment of severe acute respiratory failure and cardiac diastolic dysfunction due to Covid 19: Case report
Naghmeh Ziaie 1, Parviz Amri2
1- Babol University of Medical Sciences , ziaiexn@yahoo.com
2- Babol University of Medical Sciences
Abstract:   (105 Views)
Background and Aim: Although pulmonary involvement is common in Covid 19 disease, sometimes concomitant cardiac involvement is seen as diastolic dysfunction. This article describes a patient who underwent simultaneous treatment of severe acute respiratory failure and cardiac diastolic dysfunction due to Covid 19.
Case report: A 40-year-old woman was transferred to the internal ICU of Ayatollah Rouhani Hospital in Babol due to severe respiratory distress. The patient was anxious, restless and cyanotic. There was respiratory distress, hypoxia (72% oxygen saturation) and cardiac involvement as diastolic dysfunction. Heart rate was 134 beats per minute, blood pressure was 122/78 mm Hg and respiration rate was 38 beats per minute. The patient underwent non-invasive ventilation, and beta-interferon, low-dose furosemide, bisoprolol, and spirinolactone. During the course of treatment, despite receiving a prophylactic dose of subcutaneous heparin, the patient developed deep vein thrombosis of the left lower extremity and was treated with intravenous heparin. After two weeks, the patient was discharged in relatively good condition with non-invasive ventilation, spirinolactone and oral rivaroxaban. After three months, CT scan of the lungs and echocardiography became normal.
Conclusion: Concomitant diagnosis and treatment of cardiac diastolic dysfunction in addition to severe pulmonary involvement is recommended in Covid 19 patients.
Keywords: COVID-19, Diastolic Dysfunction, Non-Invasive Ventilation, Acute Respiratory Failure
     
Type of Study: case report | Subject: Medicine - Anesthesia
Received: 2020/10/19 | Accepted: 2021/06/30
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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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