Case 7: Cardiogenic Shock
A 22-year-old male (without a history of underlying disease) was admitted with dry coughs (for five days before admission) and dyspnea. Vital signs included temperature = 36.8, systolic blood pressure = 70/50 mmHg, heart rate = 120/min, and O2 saturation = 90% without an oxygen supply. The chest CT scan revealed pulmonary edema (Figure 1G). Echocardiography showed LVEF of 30-35%, left ventricle end-diastolic diameter of 5mm, moderate RV enlargement and dysfunction, a dilated inferior vena cava, and mild left-sided pleural effusion. The patient received IV broad-spectrum antibiotics (meropenem and doxycycline), high-dose corticosteroid (1 gr methylprednisolone/day), and remdesivir for COVID-19. The patient was discharged in stable hemodynamics after seven days. Following up the patient for three months showed LVEF to 45%. Also, cTnI returned to the normal level.