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CASE SERIES
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Cardiovascular complications in kidney transplant recipients with COVID-19: A case series


 Department of Nephrology, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Ankita Patil,
Assistant Professor, Department of Nephrology, Ward No. 34A, Old Building Third Floor, Seth G. S. Medical College and KEM Hospital, Parel, Mumbai - 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.ijn_503_21

Kidney transplant recipients (KTRs) are at a higher risk for developing severe COVID-19 which can be associated with cardiovascular complications. We studied five KTRs recipients infected with COVID-19 who developed severe cardiovascular complications. Two patients presented with ST segment myocardial infarction and two with clinically suspected myocarditis. One patient presented with atrial fibrillation. Two of these patients developed cardiogenic shock. Inflammatory markers were at peak during the event in four of these who had presented with severe COVID-19. Coronary angiography done in two patients with STEMI did not reveal any evidence of atherosclerotic coronary artery disease. Also, based on the cardiovascular (CV) risk estimation by Framingham score, four patients had low CV risk and one patient had intermediate CV risk. All five patients survived. Even with low CV risk, KTRs can develop myocardial injury and arrhythmias solely because of severe COVID-19.


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Indian Journal of Nephrology
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