Cardio Metabolic Overrun in A Context of Covid 19: A Real Problem of Care in Sub-Saharian Africa

Introduction:b> Coronavirus disease (COVID-19) is a real public health problem around the world. The first case was reported in Wuhan, China in December 2019.

Case presentation:b> It was a 31-year-old patient without cardiovascular risk factors and pathological history. He was hospitalized in an Epidemic Treatment Center (ETC) for an asymptomatic infection with SARS-CoV2 (Acute Severe Respiratory Syndrome Coronavirus 2). On the sixth day of his hospitalization, He developed inaugural decompensated diabetes under keto-acidosis mode, successfully treated by insuline and rehydratation. A week later, he presented a typical chest pain, during rest. The hemodynamic was stable, the physical examination found an irregular tachycardia. Standard electrocardiogram (ECG) showed ST elevation on anterior leads and atrial flutter with variable conduction (2/1, 3/1). In this context of COVID 19 in ETC, there was no possibilities for carrying out additional examinations: transthoracic echocardiography, coronary angiography or magnetic resonance imaging. We have in this context of typical anginal pain and electrical abnormalities, considered as an acute coronary syndrome with elevated and a pharmacological revascularization strategy has been initiated without success. The atrial flutter was successfully traited by a biphasic cardioversion in a context of hemodynamic instability.

Conclusion: COVID-19 interacts with the cardiovascular system on multiple levels, increasing morbidity in patients with underlying cardiovascular disease and causing myocardial damage and dysfunction

Keywords:COVID 19; Young patient; Cardiac decompensation; Sub-Saharian Africa