Heart Failure with Preserved Ejection Fraction in a Postpartum Patient with Superimposed Preeclampsia and COVID-19

Academic Article

Abstract

  • © 2020 Georg Thieme Verlag. All rights reserved. Our understanding of COVID-19 in pregnant and postpartum women is rapidly evolving. We present a case from March 2020 of a 25-year-old G2P2002 whose delivery was complicated by preeclampsia with severe features who presented to the emergency department 9 days after cesarean delivery with chest tightness and dyspnea on exertion. On presentation she had severe hypertension, pulmonary edema, elevated brain natriuretic peptide, and high-sensitivity troponin-I, suggesting a diagnosis of hypertensive emergency leading to heart failure with a preserved ejection fraction resulting in pulmonary edema and abnormal cardiac screening tests. However, bilateral opacities were seen on a computed tomography of the chest, and COVID-19 testing was positive. A high index of suspicion for both COVID-19 and cardiovascular complications are critical for optimal patient outcomes and protection of health care workers.
  • Digital Object Identifier (doi)

    Pubmed Id

  • 15982573
  • Author List

  • Sinkey RG; Rajapreyar I; Robbins LS; Dionne-Odom J; Pogwizd SM; Casey BM; Tita ATN
  • Start Page

  • E165
  • End Page

  • E168
  • Volume

  • 10
  • Issue

  • 2