engleski

Tachycardia, arterial hypertension and elevated troponin I as the first presentation of SARS-CoV- 2 infection

INTRODUCTION In most cases patients with SARS-CoV-2 infection present with respiratory and gastrointestinal symptoms. In this case report young patient with symptoms of cardiovascular system is presented. CASE REPORT A 21-year-old patient in early morning hours went to the Emergency Department with palpitations, tachycardia (139/min) and elevated blood pressure (162/97 mmHg). At the age of 16 he had elevated blood pressure on annual examination. He showed no signs of stenocardia, dyspnea, nausea or vomitus. He smokes 5-6 cigarettes a day and drinks alcohol occasionally. Only anomaly in clinical examination was tachycardia. ECG was normal with frequency of 117/min, without ST-T changes. In laboratory findings elevated levels of troponin I were noticed (c Tn I 0, 115 g/L ; normal range is <0, 05, criterion for myocardial infarction >0, 5). Other laboratory findings including toxicology and chest X-Ray were normal. During medical workup he felt shivers, body temperature was measured (37, 9 °C), PCR test of SARS-CoV-2 was positive and patient was hospitalized on Department of Internal Medicine. Terapy included antibiotics and antipyretics. After 48 hours body temperature, heart rate, blood pressure and troponin I were normal. After treatment of the infection, patient was examined by cardiologist and there were no abnormalities. Nephrological and endocrinological workup is planned in the future. CONCLUSION Considering the fact that patient had no stenocardia or changes on the ECG, probable causes of elevated troponin I are infection, tachycardia and acute febrile state in the setting of COVID-19 infection.

palpitations ; tachycardia ; arterial hypertension ; troponin I ; COVID 19

nije evidentirano