Stress-Induced Cardiomyopathy Precipitated by COVID-19 and Influenza A Coinfection

Charlie Joseph Sang 3rd; Brittain Heindl; Gregory Von Mering; Brigitta Brott; Robert S Kopf; Paul V Benson; Indranee Rajapreyar

doi:10.1016/j.jaccas.2020.05.068

Stress-Induced Cardiomyopathy Precipitated by COVID-19 and Influenza A Coinfection

JACC Case Rep. 2020 Jul 15;2(9):1356-1358. doi: 10.1016/j.jaccas.2020.05.068. Epub 2020 Jun 9.

Authors

Charlie Joseph Sang 3rd¹, Brittain Heindl², Gregory Von Mering³, Brigitta Brott³, Robert S Kopf⁴, Paul V Benson⁵, Indranee Rajapreyar⁶

Affiliations

¹ Internal Medicine-Pediatrics Residency Program, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama.
² Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
³ Section of Interventional Cardiology, Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
⁴ Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
⁵ Division of Anatomic Pathology, Department of Clinical Pathology, University of Alabama at Birmingham, Birmingham, Alabama.
⁶ Section of Heart Failure and Transplantation Cardiology, Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Abstract

Myocardial injury is associated with excess mortality in severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infections, but the mechanisms of injury are diverse. We describe a case of stress-induced cardiomyopathy in the setting of SARS-CoV-2 and influenza A coinfection. (Level of Difficulty: Intermediate.).

Keywords: COVID-19, coronavirus disease-2019; ECG, electrocardiogram; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; coronavirus disease 2019; dilated cardiomyopathy; hs-troponin I, high-sensitivity troponin I; influenza; myocarditis; severe acute respiratory syndrome coronavirus 2; stress-induced cardiomyopathy.