Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website http://www.cardiologyres.org

Case Report

Volume 11, Number 3, June 2020, pages 196-199

Coronavirus Disease 2019 With Acute Respiratory Distress Syndrome Mimicking Heart Failure Exacerbation: Time to Rethink

Figure

Figure 1.
Figure 1. Radiographic findings in a COVID-19 patient. Baseline chest X-ray (CXR) in posteroanterior (PA) view showing ground-glass opacities (GGOs) in bilateral lung bases and mid regions (a). CXR in PA view showing interval worsening of infiltrates (b). CXR in PA view showing severe worsening of GGOs involving apical, mid and lower lung fields (c).

Table

Table 1. Laboratory Findings in a COVID-19 Patient
 
AnalytesAdmissionDay 5Day 10
COVID-19: coronavirus disease 2019; WBC: white blood cell; CFU: colony-forming units; AST: aspartate transaminase; ALT: alanine transaminase; ALP: alkaline phosphatase; LDL: low-density lipoprotein; PCO2: partial pressure of carbon dioxide; HCO3: bicarbonate; CRP: C-reactive protein; LDH: lactate dehydrogenase; PCT: procalcitonin; BNP: B-type natriuretic peptide.
WBC (cells/µL)5.584.610.4
Lymphocyte (%)28164
AST (U/L)34502257
ALT (U/L)34233187
ALP (U/L)85183262
Total bilirubin (mg/dL)0.41.22.2
Albumin (g/dL)3.93.13.1
LDL (mg/dL)58--
pH7.457.547.52
PCO2 (mm Hg)382933
HCO3 (mEq/L)362427
Lactate (mmol/L)1.21.82.2
D-dimer (µg/L)1542457504
High-sensitivity CRP (mg/L)155262> 300
LDH (U/L)2631024665
PCT (ng/mL)0.280.431.02
Troponin (ng/mL)Negative--
Pro-BNP (pg/mL)300
Blood culture (CFU/mL)NGTDNGTDNGTD
Novel COVID-19 nasopharyngeal PCR (+/-)Positive--