Mild Disease, Big Repercussions: Cardiomyopathy Secondary to Mild Covid Infection

Jagota, Devina; Bergstrom, Emily; Gonzales, Adrienne M.; Dunmeyer, Ashanti R.; Berenji, Navid

doi:10.1016/s0735-1097(21)03377-5

Cited by 1 publication

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“…Since the first coronavirus disease 2019 (COVID-19) cases were diagnosed in the United States in January 2020, SARS-CoV-2 (the etiologic agent of COVID-19) has reshaped the American healthcare landscape. While 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 [ 1 , 2 ].…”

Section: Introductionmentioning

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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Section: Introductionmentioning

confidence: 99%