A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient

We present a patient with severe nonischemic cardiomyopathy in whom the HeartLogic algorithm was activated on her Boston Scientific cardioverter defibrillator. She had an out-of-alert state for several months and had clinically “stable” heart failure with no hospitalizations in the last 6 months. A...

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Main Authors: Ward Heggermont, Pham Anh Hong Nguyen, Chirik-Wah Lau, Kurt Tournoy
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2020/8896152
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author Ward Heggermont
Pham Anh Hong Nguyen
Chirik-Wah Lau
Kurt Tournoy
author_facet Ward Heggermont
Pham Anh Hong Nguyen
Chirik-Wah Lau
Kurt Tournoy
author_sort Ward Heggermont
collection DOAJ
description We present a patient with severe nonischemic cardiomyopathy in whom the HeartLogic algorithm was activated on her Boston Scientific cardioverter defibrillator. She had an out-of-alert state for several months and had clinically “stable” heart failure with no hospitalizations in the last 6 months. A sudden and fast increase of the HeartLogic index preceded her presentation in the emergency ward by several days. The detailed readout of HeartLogic however had some atypical features for heart failure decompensation. The patient presented at the emergency department with an increased dyspnea and a dry cough. Clinical exam showed desaturation and was suggestive for an acute respiratory infection. Subsequent imaging with CT thorax and nasopharyngeal real-time polymerase chain reaction (RT-PCR) confirmed SARS-CoV-2 viral pneumonia (COVID-19). This case illustrates that a timely and detailed analysis of HeartLogic alerts could help in the early differentiation of disease in patients with severe heart failure.
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spelling doaj-art-b5356c81dab94abfab85093a8cc5e6ee2025-08-20T02:23:23ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/88961528896152A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure PatientWard Heggermont0Pham Anh Hong Nguyen1Chirik-Wah Lau2Kurt Tournoy3Cardiovascular Research Center, Department of Cardiology, OLV Ziekenhuis Aalst-Asse-Ninove, Aalst, BelgiumDepartment of Respiratory Medicine, OLV Ziekenhuis Aalst-Asse-Ninove, Aalst, BelgiumCardiovascular Research Center, Department of Cardiology, OLV Ziekenhuis Aalst-Asse-Ninove, Aalst, BelgiumDepartment of Respiratory Medicine, OLV Ziekenhuis Aalst-Asse-Ninove, Aalst, BelgiumWe present a patient with severe nonischemic cardiomyopathy in whom the HeartLogic algorithm was activated on her Boston Scientific cardioverter defibrillator. She had an out-of-alert state for several months and had clinically “stable” heart failure with no hospitalizations in the last 6 months. A sudden and fast increase of the HeartLogic index preceded her presentation in the emergency ward by several days. The detailed readout of HeartLogic however had some atypical features for heart failure decompensation. The patient presented at the emergency department with an increased dyspnea and a dry cough. Clinical exam showed desaturation and was suggestive for an acute respiratory infection. Subsequent imaging with CT thorax and nasopharyngeal real-time polymerase chain reaction (RT-PCR) confirmed SARS-CoV-2 viral pneumonia (COVID-19). This case illustrates that a timely and detailed analysis of HeartLogic alerts could help in the early differentiation of disease in patients with severe heart failure.http://dx.doi.org/10.1155/2020/8896152
spellingShingle Ward Heggermont
Pham Anh Hong Nguyen
Chirik-Wah Lau
Kurt Tournoy
A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient
Case Reports in Cardiology
title A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient
title_full A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient
title_fullStr A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient
title_full_unstemmed A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient
title_short A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient
title_sort steep increase in the heartlogic index predicts covid 19 disease in an advanced heart failure patient
url http://dx.doi.org/10.1155/2020/8896152
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