Potential Cardiomyopathy in a Mortality Case with COVID-19: A Case Report

The current report presents the clinical presentations and paraclinical findings of the second confirmed mortality case of the coronavirus disease 2019 (COVID-19) outbreak in Qom, Iran, with an emphasis on the results of the direct cardiac consequences of COVID-19 infection.  
Case Report: A 63-year-old male patient was admitted to the Emergency Department of Kamkar-Arabnia hospital in Qom, with productive coughs, chills, anorexia, and fever. The patient had taken no recent trips and had no exposure to individuals with respiratory symptoms. Pulmonary auscultation and related imaging indicated serious pulmonary involvements. Laboratory findings showed evidence of anemia, uremia, hepatic dysfunction, and cardiac involvement, including electrocardiography changes, cardiac enzyme elevation, and relatively large cardiac space in the chest X-ray. Mortality occurred by cardiopulmonary arrest with a prominent feature of asystole and no little response to long durations of resuscitation which could originate from both acute respiratory distress syndrome as well as direct cardiac involvement.

Considering the enormous capability of coronaviruses for miscellaneous pathogenesis and outstanding mortality rate of COVID-19, it is necessary to pay more concentrated attention to the direct cardiac consequences of this disease.