Follow up study in post Covid survivors with LV dysfunction and subclinical myocarditis

Kujur, Punya Pratap; Jhala, Malav Darshan; Lanjewar, Charan; Matta, Rajesh

doi:10.1016/j.ihj.2021.11.090

Cited by 1 publication

(1 citation statement)

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“…A case report exists of a severe presentation of heart failure symptoms coinciding with arrhythmia and delayed by several months after COVID-19 resolution [ 34 ]. Treatment required inotropic agents and a prophylactic external defibrillation vest, and full recovery was possible with guideline-directed medical therapy (GDMT), although other studies showed limited success in cases with severely reduced ejection fraction <30% [ 34 , 53 ]. Case reports also exist of post-COVID myocarditis associated with incomplete or complete heart block and atrial fibrillation of rapid ventricular response and ventricular dysfunction [ 54 , 55 ].…”

Section: Reviewmentioning

confidence: 99%

Presentations, Diagnosis, and Treatment of Post-COVID Viral Myocarditis in the Inpatient Setting: A Narrative Review

Sayegh¹,

Goins²,

Hall³

et al. 2023

Cureus

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While coronavirus disease 2019 (COVID-19) infection rates have declined, and mortality outcomes have improved with vaccines, targeted antiviral therapies, and improved care practices over the course of the pandemic, post-acute sequelae of SARS CoV-2 infection (PASC, also referred to as "long COVID") has emerged as a significant concern, even among individuals who appear to have fully recovered from their initial infection. Acute COVID-19 infection is associated with myocarditis and cardiomyopathies, but the prevalence and presentation of post-infectious myocarditis are unclear. We provide a narrative review of post-COVID myocarditis, including symptoms and signs, physical exam findings, diagnosis, and treatment strategies.Post-COVID myocarditis has a wide range of presentations, from very mild symptoms to severe ones that can include sudden cardiac death. Several studies have noted what appears to be a bimodal distribution of affected patients, with individuals under age 16 (particularly males) most affected, followed by those over age 50. The gold standard of diagnosis for myocarditis is endomyocardial biopsy and cardiac magnetic resonance imaging with a confirmed diagnosis of COVID-19. However, if these are not available, other studies such as electrocardiogram, echocardiography, and inflammatory markers can guide clinicians to diagnose post-COVID myocarditis when appropriate. Treatment is largely supportive and may include oxygen therapy, intravenous hydration, diuretics, steroids, and antivirals. Post-COVID myocarditis is rare but important to recognize as more patients present with this condition in the inpatient setting.

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