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COVID 19 Myocarditis: Myth or Reality?

Lamyae Sasbou1, Badre El Boussaadani1, Ibtissam Fellat1

  • 1Department of Rythmology, Cardiology Department, Souissi Hospital, MED V University, Rabat, Morocco.

Journal of the Saudi Heart Association
|December 10, 2020
PubMed

Insights

This case report discusses a potential diagnosis of myocarditis in a young man with COVID-19. It highlights the diagnostic workup for this cardiac complication in the context of the viral infection.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pathology

Background:

  • The cardiotropic nature of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) remains under investigation.
  • Myocarditis diagnosis requires definitive evidence, typically from endomyocardial biopsy (EMB) or autopsy.

Observation:

  • A 26-year-old male presented with symptoms suggestive of myocarditis during a confirmed COVID-19 infection.
  • The patient underwent a diagnostic workup to evaluate for potential cardiac involvement.

Findings:

  • The case details the clinical presentation and diagnostic procedures employed.
  • While not definitively proven by EMB or autopsy, the workup indicated a likely diagnosis of myocarditis.
  • This case contributes to understanding the spectrum of cardiac manifestations in COVID-19.

Implications:

  • Further research is needed to establish SARS-CoV-2 as a direct cardiotropic agent.
  • Accurate diagnostic criteria for COVID-19-associated myocarditis are crucial for patient management.
  • This case underscores the importance of considering cardiac complications in patients with severe COVID-19.

Keywords:
ArrhythmiasCOVID19Endomyocardial biopsyMyocardial injuryMyocarditis

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