{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:40:09Z","timestamp":1745368809716,"version":"3.40.4"},"reference-count":10,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p>COVID-19 is a novel disease with multisystem involvement, but most patients have pulmonary and cardiovascular involvement in the acute stages. The cardiovascular impact of acute COVID-19 is well recognized and ranges from myocarditis, arrhythmias, and thrombotic occlusion of coronary arteries to spontaneous coronary artery dissection and microthrombi in small coronary vessels on autopsy. We report a case of a 37-year-old man who recovered from mild COVID-19 only to present a few weeks later with devastating cardiovascular involvement that included severe left ventricular impairment resulting from nonischemic cardiomyopathy, multiple left ventricular thrombi, and embolic stroke.<\/jats:p>","DOI":"10.14503\/thij-20-7488","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T21:17:34Z","timestamp":1669843054000},"source":"Crossref","is-referenced-by-count":1,"title":["Dilated Cardiomyopathy With Multiple Left Ventricular Thrombi and Embolic Stroke After Mild COVID-19"],"prefix":"10.14503","volume":"49","author":[{"given":"Radhapriya","family":"Yalamanchi","sequence":"first","affiliation":[{"name":"Department of Cardiology, Apollo Main Hospital, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhan Kumar","family":"Murugan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Apollo Main Hospital, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishnaswamy","family":"Chandrasekharan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Apollo Main Hospital, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Refai","family":"Showkathali","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Apollo Main Hospital, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"key":"i1526-6702-49-6-e207488-b1","series-title":"BMJ.","first-page":"m2655","article-title":"Antibody testing for coronavirus disease 2019: not ready for prime time","volume":"370","year":"2020","unstructured":"Duong\nYT,\n\n\nWright\nCG,\n\n\nJustman\nJ.\n\n\nAntibody testing for coronavirus disease 2019: not ready for prime time.\nBMJ.2020;370:m2655.\ndoi:10.1136\/bmj.m2655"},{"key":"i1526-6702-49-6-e207488-b2","series-title":"BMJ.","first-page":"m1091","article-title":"Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study","volume":"368","year":"2020","unstructured":"Chen\nT,\n\n\nWu\nD,\n\n\nChen\nH,\n\n\n.\nClinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study.\nBMJ.2020;368:m1091.\ndoi:10.1136\/bmj.m1091"},{"issue":"7","key":"i1526-6702-49-6-e207488-b3","series-title":"JAMA Cardiol.","first-page":"811","article-title":"Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19)","volume":"5","year":"2020","unstructured":"Guo\nT,\n\n\nFan\nY,\n\n\nChen\nM,\n\n\n.\nCardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19).\nJAMA Cardiol.2020:5(7):811\u2013818.\ndoi:10.1001\/jamacardio.2020.1017"},{"issue":"25","key":"i1526-6702-49-6-e207488-b4","series-title":"N Engl J Med.","first-page":"2478","article-title":"ST-segment elevation in patients with Covid-19-a case series","volume":"382","year":"2020","unstructured":"Bangalore\nS,\n\n\nSharma\nA,\n\n\nSlotwiner\nA,\n\n\n.\nST-segment elevation in patients with Covid-19-a case series.\nN Engl J Med.2020;382(25):2478\u20132480.\ndoi:10.1056\/NEJMc2009020"},{"issue":"22","key":"i1526-6702-49-6-e207488-b5","series-title":"Eur Heart J.","first-page":"2132","article-title":"Multivessel coronary thrombosis in a patient with COVID-19 pneumonia","volume":"41","year":"2020","unstructured":"Dominguez-Erquicia\nP,\n\n\nDobarro\nD,\n\n\nRaposeiras-Roub\u00edn\nS,\n\n\nBastos-Fernandez\nG,\n\n\nI\u00f1iguez-Romo\nA.\n\n\nMultivessel coronary thrombosis in a patient with COVID-19 pneumonia.\nEur Heart J.2020;41(22):2132.\ndoi:10.1093\/eurheartj\/ehaa393"},{"issue":"12","key":"i1526-6702-49-6-e207488-b6","series-title":"JACC Cardiovasc Interv.","first-page":"e107","article-title":"Spontaneous coronary artery dissection in a patient with COVID-19","volume":"13","year":"2020","unstructured":"Courand\nPY,\n\n\nHarbaoui\nB,\n\n\nBonnet\nM,\n\n\nLantelme\nP.\n\n\nSpontaneous coronary artery dissection in a patient with COVID-19.\nJACC Cardiovasc Interv.2020;13(12):e107\u2013e108.\ndoi:10.1016\/j.jcin.2020.04.006"},{"issue":"2","key":"i1526-6702-49-6-e207488-b7","series-title":"Catheter Cardiovasc Interv.","first-page":"E249","article-title":"Spontaneous coronary artery dissection of the left anterior descending artery in a patient with COVID-19 infection","volume":"97","year":"2021","unstructured":"Kumar\nK,\n\n\nVogt\nJC,\n\n\nDivanji\nPH,\n\n\nCigarroa\nJE.\n\n\nSpontaneous coronary artery dissection of the left anterior descending artery in a patient with COVID-19 infection.\nCatheter Cardiovasc Interv.2021;97(2):E249\u2013E252.\ndoi:10.1002\/ccd.28960"},{"issue":"8","key":"i1526-6702-49-6-e207488-b8","series-title":"Circulation.","first-page":"804","article-title":"Microthrombi and ST-segment-elevation myocardial infarction in COVID-19","volume":"142","year":"2020","unstructured":"Guagliumi\nG,\n\n\nSonzogni\nA,\n\n\nPescetelli\nI,\n\n\nPellegrini\nD,\n\n\nFinn\nAV.\n\n\nMicrothrombi and ST-segment-elevation myocardial infarction in COVID-19.\nCirculation.2020;142(8):804\u2013809.\ndoi:10.1161\/CIRCULATIONAHA.120.049294"},{"issue":"11","key":"i1526-6702-49-6-e207488-b9","series-title":"JAMA Cardiol.","first-page":"1265","article-title":"Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19)","volume":"5","year":"2020","unstructured":"Puntmann\nVO,\n\n\nCarerj\nML,\n\n\nWieters\nI,\n\n\n.\nOutcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19).\nJAMA Cardiol.2020;5(11):1265\u20131273.\ndoi:10.1001\/jamacardio.2020.3557"},{"issue":"11","key":"i1526-6702-49-6-e207488-b10","series-title":"JAMA Cardiol.","first-page":"1281","article-title":"Association of cardiac infection with SARS-CoV-2 in confirmed COVID-19 autopsy cases","volume":"5","year":"2020","unstructured":"Lindner\nD,\n\n\nFitzek\nA,\n\n\nBr\u00e4uninger\nH,\n\n\n.\nAssociation of cardiac infection with SARS-CoV-2 in confirmed COVID-19 autopsy cases.\nJAMA Cardiol.2020;5(11):1281\u20131285.\ndoi:10.1001\/jamacardio.2020.3551"}],"container-title":["Texas Heart Institute 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