Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report

Abstract The case of a 35‐year‐old female with heart failure is presented, where the symptoms overlap with the heterogeneous manifestations of coronavirus disease 2019 (COVID‐19). Those similarities and a recent shift in priorities during the SARS‐CoV‐2 pandemic delayed the recognition of acute hear...

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Main Authors: Ágnes Orsolya Rácz, Gábor Tamás Szabó, Nóra Erdei, Ferenc Győry, Rudolf Viktor Kolozsvári
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:ESC Heart Failure
Subjects:
Online Access:https://doi.org/10.1002/ehf2.14054
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author Ágnes Orsolya Rácz
Gábor Tamás Szabó
Nóra Erdei
Ferenc Győry
Rudolf Viktor Kolozsvári
author_facet Ágnes Orsolya Rácz
Gábor Tamás Szabó
Nóra Erdei
Ferenc Győry
Rudolf Viktor Kolozsvári
author_sort Ágnes Orsolya Rácz
collection DOAJ
description Abstract The case of a 35‐year‐old female with heart failure is presented, where the symptoms overlap with the heterogeneous manifestations of coronavirus disease 2019 (COVID‐19). Those similarities and a recent shift in priorities during the SARS‐CoV‐2 pandemic delayed the recognition of acute heart failure in this patient. During the differential diagnostic process, obliterative disease was discovered in the bilateral subclavian and right renal arteries, and the latter resulted in uncontrolled hypertension, which played a significant role in the development of heart failure. The aetiology of vascular alterations turned out to be Takayasu's arteritis. Diagnosing Takayasu's arteritis is typically not straightforward due to its nonspecific signs and symptoms. Therefore, it can be concluded from our case report that the rising incidence of COVID‐19 and focus on ruling out infection can potentially defer alternative, but appropriate diagnostic tests, particularly for certain conditions like rare diseases. Early identification and intervention is especially important for treating acute heart failure, whereas delay increases the risk of severe complications and mortality.
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spelling doaj.art-50b6aa124cb041b0a37885deaaed7b352023-06-27T14:49:57ZengWileyESC Heart Failure2055-58222022-10-01953602360710.1002/ehf2.14054Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case reportÁgnes Orsolya Rácz0Gábor Tamás Szabó1Nóra Erdei2Ferenc Győry3Rudolf Viktor Kolozsvári4Division of Cardiology, Department of Cardiology, Faculty of Medicine University of Debrecen Debrecen HungaryDivision of Cardiology, Department of Cardiology, Faculty of Medicine University of Debrecen Debrecen HungaryDivision of Cardiology, Department of Cardiology, Faculty of Medicine University of Debrecen Debrecen HungaryDivision of Cardiology, Department of Cardiology, Faculty of Medicine University of Debrecen Debrecen HungaryDivision of Cardiology, Department of Cardiology, Faculty of Medicine University of Debrecen Debrecen HungaryAbstract The case of a 35‐year‐old female with heart failure is presented, where the symptoms overlap with the heterogeneous manifestations of coronavirus disease 2019 (COVID‐19). Those similarities and a recent shift in priorities during the SARS‐CoV‐2 pandemic delayed the recognition of acute heart failure in this patient. During the differential diagnostic process, obliterative disease was discovered in the bilateral subclavian and right renal arteries, and the latter resulted in uncontrolled hypertension, which played a significant role in the development of heart failure. The aetiology of vascular alterations turned out to be Takayasu's arteritis. Diagnosing Takayasu's arteritis is typically not straightforward due to its nonspecific signs and symptoms. Therefore, it can be concluded from our case report that the rising incidence of COVID‐19 and focus on ruling out infection can potentially defer alternative, but appropriate diagnostic tests, particularly for certain conditions like rare diseases. Early identification and intervention is especially important for treating acute heart failure, whereas delay increases the risk of severe complications and mortality.https://doi.org/10.1002/ehf2.14054Acute heart failureTakayasu's arteritisCOVID‐19
spellingShingle Ágnes Orsolya Rácz
Gábor Tamás Szabó
Nóra Erdei
Ferenc Győry
Rudolf Viktor Kolozsvári
Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report
ESC Heart Failure
Acute heart failure
Takayasu's arteritis
COVID‐19
title Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report
title_full Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report
title_fullStr Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report
title_full_unstemmed Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report
title_short Heart failure caused by Takayasu's arteritis in the time of COVID‐19: a case report
title_sort heart failure caused by takayasu s arteritis in the time of covid 19 a case report
topic Acute heart failure
Takayasu's arteritis
COVID‐19
url https://doi.org/10.1002/ehf2.14054
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