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Cardiac Tamponade in COVID-19 Patients: Management and Outcomes
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  • Hazim Hakmi,
  • Amir Sohail,
  • Collin Brathwaite,
  • Ray Beevash,
  • Sunil Abrol
Hazim Hakmi
NYU Langone Health
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Amir Sohail
NYU Langone Health
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Collin Brathwaite
NYU Langone Health
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Ray Beevash
NYU Langone Health
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Sunil Abrol
NYU Langone Health
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Abstract

Importance: Cardiac tamponade requiring emergent intervention is a possible complication of COVID-19 infection. Favorable clinical outcomes are possible if timely management and drainage are performed, unless ventricular failure develops. Observations: Cardiac tamponade in COVID-19, based on the limited reported cases, seems to be more common among middle-aged men. Prognosis is worse amongst patients with concomitant ventricular failure. Design and methods: This is a case series of three COVID-19 patients complicated by cardiac tamponade, requiring surgical intervention at a single institution in New York. Interventions: Pericardial window, Pericardiocentesis Outcomes: One patient had recurrence of cardiac tamponade with hemorrhagic component but fully recovered and was discharged home. Two patients developed cardiac tamponade with concomitant biventricular failure, resulting in death. Conclusions and Relevance: Cardiac Tamponade with possible concomitant biventricular failure can develop in COVID-19 patients; incidence seems to be highest at the point of marked inflammatory response. Concomitant ventricular failure seems to be a predictor of poor prognosis.

Peer review status:Published

22 Jun 2020Submitted to Journal of Cardiac Surgery
23 Jun 2020Submission Checks Completed
23 Jun 2020Assigned to Editor
23 Jun 2020Reviewer(s) Assigned
23 Jun 2020Review(s) Completed, Editorial Evaluation Pending
23 Jun 2020Editorial Decision: Revise Minor
20 Jul 20201st Revision Received
24 Jul 2020Submission Checks Completed
24 Jul 2020Assigned to Editor
24 Jul 2020Reviewer(s) Assigned
24 Jul 2020Review(s) Completed, Editorial Evaluation Pending
24 Jul 2020Editorial Decision: Accept
13 Aug 2020Published in Journal of Cardiac Surgery. 10.1111/jocs.14925