1 - #coronatsubo : A patient followed by my friend @BrunoSband: (Thread)
Female, previously healthy, 42 yr, admitted to ICU w/fever, weakness, nausea, cough and dyspnea, sat O2<75%. PCR positive for SARS-Cov-2. Take a look at admission CT scan:
Female, previously healthy, 42 yr, admitted to ICU w/fever, weakness, nausea, cough and dyspnea, sat O2<75%. PCR positive for SARS-Cov-2. Take a look at admission CT scan:
2 - Admission Chest CT. Intubated, mechanical ventilation. Started on chloroquine, azythromicin and ceftaroline (ground glass opacities but also consolidation)
3 - 3.Baseline EKG and also shown EKG on 5th day, w/scary ST elevation. Troponins only slightly elevated. IL-6 on 5th day: 790 pg/ml – Extremely elevated (Cytokine storm?). 
TTE on 5th day. Apical akynesis, RV function was preserved: Patient taken to coronary arteriography
Normal coronary arteries and left ventriculography shown on next tweet
Tocilizumab will be started due to possible cytokine storm.Chloroquine and azitro stopped on event day, due to risk of arrhythmia and worsening LV dysfuntion. Patient hemodinamically stable on low dose norepinephrine, FIo2 0,40 P/F 465. #cardiotwitter
Follow-up: Patient died yesterday night. Will try to get more details later today.😥
Cause of death: Circulatory failure. After tolicizumab patient's status improved, which I believe, was just by chance, and within 24 hours she developed cardiogenic shock and multiple organ failure.
