Case 6: Ventricular Arrhythmia
A 34-year-old female was admitted with complaint of loss of consciousness. She experienced fever and headache from six days before admission. Vital signs included temperature = 36.7, systolic blood pressure = 80/60 mmHg, heart rate = 114/min, and O2saturation = 82% without an oxygen supply. ECG monitoring revealed ventricular tachycardia (Figure 3). The DC shock applied. The patient was intubated. Echocardiography showed a normal LV and RV size, moderate tricuspid and mitral regurgitation, systolic pulmonary arterial pressure of 30 mmHg, and LVEF of 30%. The chest CT revealed bilateral GGO and basal consolidations (Figure 1F). The patient received IV broad-spectrum antibiotics (meropenem and doxycycline), high-dose corticosteroid (1 mg/kg methylprednisolone/day), and remdesivir for COVID-19. The patient was discharged in three weeks with LVEF of 40-45% and normal cardiac biomarkers.