Introduction
Since the first case detected in the city of Wuhan, Coronavirus disease
2019 (COVID-19) cases have been increasing exponentially and declared as
a global pandemic (1,2). This virus causes the infection known as severe
acute respiratory syndrome 2 (SARS-CoV-2) and produces in most cases
respiratory symptoms progressing from pneumoniae to acute respiratory
distress syndrome. However, it is well known that the virus can be
expressed as extrapulmonary manifestations (3). Some prospective
observational studies have already described cardiac involvement such as
arrhythmias, acute myocardial injury, and Heart failure (HF) (4).
Specifically, some cases of pericarditis, cardiac effusion and
pericardial tamponade have been described (5,6). Highlighting the
importance to consider this pathology on a patient with COVID-19 who
persists with dyspnea prior to discharge. We present a case of COVID-19
readmission due to severe pericardial effusion that progressed to
cardiac tamponade. This case wants to show the importance of considering
cardiac manifestations as a cause of dyspnea in patients with COVID-19.