This case report describes the clinical course and management of a 47-year-old Afro-Caribbean with previous myopericarditis was admitted in March 2020 with breathlessness, chest pain, dry cough, and subjective fevers She had no cardiovascular risk factors An angiogram in 2017 had shown unobstructed coronary arteries Despite initial i v fluid resuscitation, she did not respond and was transferred to the intensive treatment unit (ITU) for vasopressor support Repeat echocardiogram revealed further accumulation of pericardial effusion to a maximal depth of 2 cm, with evidence of cardiac tamponade Her haemodynamic parameters worsened, including hypotension and tachycardia Pericardiocentesis was performed in view of acute deterioration Due to her clinical condition and infective status, it was deemed unsuitable to transfer her to the cardiac laboratory for fluoroscopic-guided pericardiocentesis This was therefore performed on the ITU under echocardiographic guidance Improvement in haemodynamic parameters was observed immediately A total of 540 mL of serosanguinous fluid was drained and tested negative for COVID-19 This case report highlights the first cardiac tamponade case in COVID-19 Cardiac tamponade is an important differential to consider in a deteriorating patient with COVID-19

中文翻译：

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COVID-19 中危及生命的心脏压塞并发心肌心包炎

本病例报告描述了一名 47 岁的加勒比黑人患者的临床病程和治疗，之前患有心肌心包炎，于 2020 年 3 月因呼吸困难、胸痛、干咳和主观发烧入院 她没有心血管危险因素 2017 年的血管造影显示显示冠状动脉通畅 尽管最初的静脉输液复苏，她没有反应，并被转移到强化治疗单元 (ITU) 进行血管加压剂支持 重复超声心动图显示心包积液进一步积聚，最大深度为 2 cm，有心脏压塞的证据血流动力学参数恶化，包括低血压和心动过速 鉴于她的临床状况和感染状况急剧恶化，进行了心包穿刺术，被认为不适合将她转移到心脏实验室进行透视引导下的心包穿刺术 因此在超声心动图的指导下在 ITU 上进行了 立即观察到血液动力学参数的改善 总共 540 mL 的血清血液液体被引流并检测出 COVID-19 阴性本病例报告强调了 COVID-19 中的首例心脏压塞 心脏压塞是 COVID-19 恶化患者需要考虑的重要差异对于病情恶化的 COVID-19 患者，填塞是一个需要考虑的重要差异对于病情恶化的 COVID-19 患者，填塞是一个需要考虑的重要差异