2021
DOI: 10.3390/diagnostics11081519
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Focal Myocarditis after Mild COVID-19 Infection in Athletes

Abstract: COVID-19 infection in athletes usually has a milder course, but in the case of complications, myocarditis and even sudden cardiac death may occur. We examined an athlete who felt symptoms upon returning to training after asymptomatic COVID-19 infection. Physical, laboratory, and echocardiography findings were normal. The cardiopulmonary exercise test was interrupted at submaximal effort due to severe dyspnea in the presence of reduced functional capacity in comparison to previous tests. Cardiac magnetic resona… Show more

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Cited by 3 publications
(4 citation statements)
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“…Another hypothesis is that SARS-CoV-2 causes myocardial injury indirectly, as there is often a temporal delay between the cardiac presentations and SARS-CoV-2 infection. 27 , 30 , 31 A handful of mechanisms may be relevant and may coexist in some patients, such as, venous thromboembolism, with pulmonary embolism being an important cause of adverse outcomes associated with COVID-19. 32 An autopsy report from Germany reported deep venous thrombosis in 58% of patients (7 of 12) in whom venous thromboembolism was not suspected before death, 13 and the incidence of alveolar capillary microthrombi was significantly higher than following H1N1 influenza.…”
Section: Sars-cov-2-related Myocardial Injurymentioning
confidence: 99%
“…Another hypothesis is that SARS-CoV-2 causes myocardial injury indirectly, as there is often a temporal delay between the cardiac presentations and SARS-CoV-2 infection. 27 , 30 , 31 A handful of mechanisms may be relevant and may coexist in some patients, such as, venous thromboembolism, with pulmonary embolism being an important cause of adverse outcomes associated with COVID-19. 32 An autopsy report from Germany reported deep venous thrombosis in 58% of patients (7 of 12) in whom venous thromboembolism was not suspected before death, 13 and the incidence of alveolar capillary microthrombi was significantly higher than following H1N1 influenza.…”
Section: Sars-cov-2-related Myocardial Injurymentioning
confidence: 99%
“…In some people, elevated troponin levels in the blood are accompanied by changes in the ECG. 14,15 The case discussed in this study is notable because the patient developed AP symptoms after recovering from the COVID-19 infection. Additionally, the patient's cardiac biomarkers and non-specific ECG patterns have changed, possibly caused by pancreatitis or COVID-19 complications.…”
Section: Discussionmentioning
confidence: 93%
“…Even after recovery, COVID‐19 can cause changes in cardiac biomarkers and ECG. In some people, elevated troponin levels in the blood are accompanied by changes in the ECG 14,15 …”
Section: Discussionmentioning
confidence: 99%
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