KOCHI: A critically-ill Covid patient’s life was saved by means of well timed medical intervention right here. Ok M Manoj, 30, of Parappuram in Aluva, was admitted to VPS Lakeshore Hospital with excessive fever, sweating and palpitation on May 21. He had examined constructive for Covid and was beneath therapy at house. After 14 days, he examined destructive and later developed post-Covid signs. He had comorbidities, together with hypertension, and suffered breathlessness as effectively.
According to the medical doctors, the renal parameters of the patient have been deranged and counts have been excessive. At the time of admission, he had signs of kidney failure. An echo check discovered that the cardiac operate of the patient was lower than 20%. In view of low cardiac output, echo findings, tachycardia, breathlessness and elevated cardiac enzymes, a analysis of post-Covid viral myocarditis was made.
Due to low cardiac output, elevated work of respiration, sepsis, and renal failure, it was determined to provoke VA ECMO (Veno-Arterial Extracorporeal Membrane Oxygenation), a complicated mechanical circulatory assist system (MCS), after a multi-disciplinary assembly. VA ECMO is a assist system that aids each coronary heart and lung features until the organs regain their functionality to operate correctly. This is one form of modality for sufferers with viral myocarditis, stress cardiomyopathy, cardiogenic shock, pulmonary embolism and acute myocardial infarction with cardiogenic shock.
Anand Kumar, interventional heart specialist, stated the patient was initiated on VA ECMO inside six hours of analysis. His cardiac operate improved regularly. By day 4, he was decannulated from ECMO. He was extubated from ventilator assist after two extra days. At the time of discharge, his cardiac operate confirmed vital enchancment. After 11 days of hospital keep, the patient was discharged on Monday.
“Sudden cardiac dying is seen in post-Covid sufferers. If we will determine early and provides the suitable therapy, it’s salvageable,” stated Sujith D S, cardiac surgeon, VPS Lakeshore Hospital.
