Sars-COV2 usually has a flu-like condition with possible progression to lung involvement. Isolated cardiac involvement has a slight frequency and present as arrhythmias, pericarditis or myocarditis.This is a rare case of COVID-1 patient, without pulmonary involvement with pericarditis, pericardial effusion and focal left ventricular impaired contraction.
Male, physician, 40 y presenting nasal congestion without a runny nose for 3 days. Discreet degree headache and odynophagia. Due to the history of attending hospitals with patients diagnosed with COVID-19, he performed a swab on April 19, being positive. He performed a chest tomography on the same day without any finding suggestive of pulmonary involvement, but with a slight more evident pericardial effusion adjacent to the right ventricle free wall.
Echocardiogram (20/04) preserved ejection fraction (LVEF=66%, Simpson), with reduced global longitudinal strain (SLG=-16), most evident in anterior, anteroseptal and anterolateral wall (basal segments).
Cardiac Magnetic Resonance (20/04) pericardial effusion adjacent to the free wall of the right ventricle, with slight associated late enhancement, including adjacent to lateral wall. The septum had an almost undetectable contractile deficit, with other segments preserved.
Acute respiratory infections, including influenza, respiratory syncytial virus, and bacterial pneumonias, are well-recognized triggers for cardiovascular diseases (CVD), and the underlying CVD can lead to a worse prognosis for such infections.
Both SARS and middle east respiratory syndrome, viruses with similarities to COVID-19, have shown deleterious effects on the cardiovascular system. We can mention: arrhythmias (bradycardias and tachycardias), changes in diastolic function, transient cardiomegaly, hypotension, myocarditis, pericardial effusion and acute coronary syndrome.
The SARS-CoV-2 (COVID-19) infection causes a severe respiratory illness with many epidemiologic, clinical, radiologic, and laboratory findings. The 3 most common symptoms of COVID-19 are fever, cough, and shortness of breath, but we can have muscle pain, anorexia, malaise, sore throat, nasal congestion, dyspnea, and headache.

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