Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink

Yasar Sattar, Michael Connerney, Waqas Ullah, Hiba Rauf, Sahil Mamtani, Stephen Luddington, M. Chadi Alraies

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, PaO2/FiO2 < 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.




Cardiol Res. 2020;11(3):196-199
doi: https://doi.org/10.14740/cr1074


Keywords


COVID-19; Novel human coronavirus; ARDS; Heart failure

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