Subacute perimyocarditis in a young patient with COVID-19 infection

Monmeneu, José V.; Domínguez, Eloy; Soler, Jorge Andrés; Perez, Bruno Ventura; Caravaca, Javier Solsona; Torres, Ricardo Broseta; García-González, Pilar; Ortega, Laura Higueras; López‐Lereu, María P.; Maceira, Alicia M.

doi:10.1093/ehjcr/ytaa157

Cited by 14 publications

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“…COVID-19 mainly affects the respiratory system, including the lung, but affects multiple organs, especially the cardiovascular system. 2 , 3 In previous reports, cases of pericarditis, 4 myocarditis, 5 stress induced cardiomyopathy, 6 , 7 and arrhythmia occurred in patients with COVID-19, 8 and cases of pulmonary thromboembolism, 9 coronary artery thrombosis, 10 and STEMI were also reported. 11 , 12 However, studies on how COVID-19 affect AMI is limited.…”

Section: Discussionmentioning

confidence: 94%

A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock

et al. 2020

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A 60-year-old male patient with coronavirus disease-2019 showed new onset ST-segment elevation in V1-V2 leads on electrocardiogram and cardiac enzyme elevation in intensive care unit. He had a history of type 2 diabetes mellitus, hypertension, and dyslipidemia. He was receiving mechanical ventilation and veno-venous extracorporeal membrane oxygenation treatment for severe hypoxia. Two-D echocardiogram showed regional wall motion abnormalities. We performed primary percutaneous coronary intervention for acute myocardial infarction complicating cardiogenic shock under hemodynamic support. He expired on the 16th day of admission because of cardiogenic shock and multi-organ failure. Active surveillance and intensive treatment strategy are important for saving lives of COVID-19 patients with acute myocardial infarction.

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Section: Discussionmentioning

confidence: 94%

A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock

et al. 2020

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“…Therefore, it remained uncertain whether hypertension, diabetes mellitus, and cardiovascular disease are related to COVID-19 disease severity (2). Some studies reported COVID-19 cases with cardiac injuries such as pericarditis, myocarditis, arrhythmia, STEMI, and coronary artery thrombosis (8)(9)(10)(11). The prevalence of myocardial infarction between women and men is 30% and 12%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Normal coronary myocardial infarction due to COVID-19: A case series

Kazemi

Mansoursamaei

Homatash

et al. 2022

Preprint

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Background: The prevalence of cardiovascular complications in COVID-19 infection varied in different studies. One of these complications is myocardial infarction. A disturbance of the blood supply can lead to myocardial infarction by clot formation in the arteries. However, no evidence of significant coronary stenosis has been found in more than 50% of patients with COVID-19 and ST elevation.Case Presentation: 38 and 49 years old men (patients 1,2) were admitted to our hospital with the complaint of typical chest pain and COVID-19 symptoms. The real-Time Polymerase Chain Reaction (RT-PCR) test confirmed COVID-19 in both. Patient 1 represented inferior posterior ST-Elevation Myocardial Infarction (STEMI) in his electrocardiogram (ECG). Also, patient 2 has ST-elevation in high lateral and septal leads (I, AVL, V1, V2) and ST-segment depression in AVR and inferior leads (III, AVF). Their troponin was positive. The vital signs were normal in both of them. Patient 2 just had a history of aortic valve replacement (AVR) 5 years ago. However, Patient 1 had no medical history. Transthoracic Echocardiography (TTE) data demonstrated some disturbances in patient 1 Severe hypokinesia of Inferior, Posterior, Lateral, and Septal walls. However, TTE data were unremarkable for patient 2. We prescribed recommended medications for them. Therefore, their ECG changes were corrected, and his condition improved. In addition, Coronary angiography was done that demonstrated patent and normal coronary arteries in both of them.Conclusion: COVID-19 infection can cause normal coronary arteries myocardial infarction with probable two mechanisms prolonged vasospasm or intraluminal coronary thrombogenesis.

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“…Patients with CoV19 often suffer from a wide variety of cardiovascular complications including hypotension (50.4%), tachycardia (71.9%), bradycardia (14.9%), reversible cardiomegaly (10.7%), and transient atrial fibrillation [9] .Therefore it remained uncertain whether hypertension, diabetes mellitus and cardiovascular disease related to COVID-19 disease [2] . Some studies reported COVID-19 cases that having some cardiac injury such as pericarditis, myocarditis, arrhythmia, and also cases of coronary artery thrombosis and STEMI were reported [10][11][12][13] . 30% of women and 12% of men have myocardial infarction but more than 50% of MI there isn't any evidence of obstructive coronary disease at the time of angiography [14][15][16] .…”

Section: Discussionmentioning

confidence: 99%

Subclinical Cardiovascular Presentation in Covid19: A Case Report

Shiebani,

Saba

2021

Indian Journal of Forensic Medicine & Toxicology

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The coronavirus disease 2019 , elicited by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, is a pandemic public health emergency of global concern. Other than the profound severe pulmonary damage, SARS-CoV-2 infection also leads to a series of cardiovascular abnormalities, including myocardial injury, myocarditis and pericarditis, arrhythmia and cardiac arrest, cardiomyopathy, heart failure, cardiogenic shock, and coagulation abnormalities. mechanisms have been postulated for COVID-19-associated cardiovascular damage including SARS-CoV-2 receptor angiotensin-converting enzyme 2 (ACE2) activation, cytokine storm, hypoxemia, stress and cardiotoxicity of antiviral drugs. In this paper we reported a patient with severe Cocid 19 pnumonia that had very high level of Troponin I without history of cardio vascular and other underlying diseases expect mild HTN with use of amlodipine. She had a ECG with old LBBB without significant ST-T bnormality and normal data in Trance thoracic echocardiography(TTE). We named this condition subclinical involvemet of cardiovascular system in Covid19 and our discussion is about reasons and origination of this Troponin elevation.

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Subacute perimyocarditis in a young patient with COVID-19 infection

Cited by 14 publications

References 0 publications

A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock

A Case of COVID-19 with Acute Myocardial Infarction and Cardiogenic Shock

Normal coronary myocardial infarction due to COVID-19: A case series

Subclinical Cardiovascular Presentation in Covid19: A Case Report

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