ABC | Volume 114, Nº5, May 2020

Case Report Rente Coronavirus and the Heart Arq Bras Cardiol. 2020; 114(5):839-842 Cardiac involvement, which leads to acute heart failure, has been identified as one of the major sources of secondary complications, with reserved outcome, without specific therapy, except for the classic follow-up of acute heart failure as recommended in our guidelines, in addition to control of the focus of infection. Conclusion The cardiovascular outcome is a real possibility in the clinical experience of the novel coronavirus pandemic, requiring monitoring and follow-up of acute heart failure. 6 Clinical signs should always guide us to consider these possibilities, in addition to keeping an eye for myocarditis. Complementary tests such as CT and chest radiography are useful for investigation, and echocardiography can facilitate management. It is worth noting that it is not often available in emergency care units in order to have its operator-dependent results. Due to the severity of the patients’ conditions (mostly under mechanical ventilation), cardiac resonance imaging is not of great value as it cannot be performed. 6 We corroborate the need for history-taking and thorough clinical/cardiological evaluation of such patient profile in order to minimize unfavorable outcomes. Author contributions Conception and design of the research, Acquisition of data and Critical revision of the manuscript for intellectual content: Rente A, Uezato Junior D, Uezato KMK; Analysis and interpretation of the data: Uezato Junior D, Uezato KMK; Writing of the manuscript: Rente A. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This study is not associated with any thesis or dissertation work. Ethics approval and consent to participate This article does not contain any studies with human participants or animals performed by any of the authors. 3 4 5 6 Figures 3 to 6 – Chest tomography in pulmonary window with standard ground-glass involvement. 841