Abstract
The Severe Acute Respiratory Syndrome Coronavirus 2 virus has a strong tropism for the cardiovascular system, with direct or indirect interactions mediated by inflammation. The virus can cause cardiovascular lesions that can compromise the prognosis. We report the case of a 43-year-old patient with no particular medical history, admitted with acute respiratory distress syndrome due to coronavirus disease 2019 pneumonia complicated by myocardial injury, whose condition gradually improved with apyrexia, normalization of troponins, inflammatory markers, and restoration of left ventricular function. This case report demonstrates the need to identify cardiac involvement through widespread use of echocardiography and close monitoring of cardiac and inflammatory biomarkers during coronavirus disease 2019 infection, given the prognostic implications of such involvement.