Department of Medicine, Bangalore Medical College and Research Institute, Karnataka, India
Case Report
A Case of Stroke and Suspected Inflammatory Cardiomyopathy in Young Female
with COVID-19
Author(s): Varsha V*, Kavya S T, Sanjay, Kiran Kumar, Vallish Shenoy, Vidyasagar B, Megha Sridhar and Aishwarya Malagi
There is mounting evidence of risk of thrombotic vascular events like stroke,
deep vein thrombosis and pulmonary thromboembolism in COVID 19 patients.
Risk of stroke increases with advancing age and presence of vascular risk
factors. There are cases reported of stroke in young with no known vascular
risk factor in COVID 19 patients which is attributed to hypercoagulable
state from systemic inflammation, cytokine storm and direct viral induced
endothelitis. Biopsy evidence of myocarditis also called as inflammatory
cardiomyopathy secondary to SARS-CoV-2 cardio tropism has been recently
demonstrated. The two main theories behind are- direct role of ACE2 receptor
and a hyper immune response. A final diagnosis of COVID-19 induced
myocarditis is seldom made as end myocardial biopsy and cardiac MRI are
infrequently done. Hence true incidence of myocarditis i.. View More»