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.