Journal of Cardiovascular Medicine and Surgery

A 19 years old female came to ED with c/o chest pain with uneasiness, intermittent sweating, epigastric pain and weakness since one day. Patient had no any pre-existing comorbidity and not on any regular medication. On examination Patient was in shock haemodynamically with ECG showed normal sinus rhythm. 2D echo suggested global hypokinesia with LVEF 30%. Ultrasound whole abdomen revealed Gall Bladder wall edema with small amount of free fluid in peritoneal cavity. X-ray chest suggested B/L ground glass opacities with mild B/L pleural effusion.

World known pandemic severe acute respiratory syndrome SARS Cov2 viral infection or called as corona virus disease (COVID 19), initially we faced as respiratory insufficiency but later on multisystemic inflammatory disorders were reported. Cardiac emergencies or cardiovascular morbidities with mortality were accessed across the globe during COVID 19 pandemic era. Data revealed that SARS Cov2 affected on heart by both direct or indirect pathway which leads to acute myocarditis, myocardial injury/infarct, heart failure, thrombosis and arrhythmias. Here we are presenting a rare case as hematoma in myocardium called as intramyocardial dissecting hematoma. Non invasive technology like 2 dimensional echocardiography and magnetic resonance imaging (MRI) are diagnostic tools to prevent mortality in cardiology field and avoid further complication.

We found 60-70% of cases having the habit of high salt intake. Our data suggested a 2.5-fold higher risk for high blood pressure in sea or white salt users versus black salt or Himalayan rock salt which showed more potassium and magnesium with low sodium ions as compared to sea salt. Our data revealed more hypertension in high quantity with low frequency versus low quantity with quality of salt with high frequency users. Data suggests a significant difference of dyspnoea, cardiac functions and exercise intolerance in hypertensive rich salt users versus balanced salt intake less than 6 gm/day.