Stemi mimicking post COVID: a case of focal myopericarditis post COVID infection
Muhammad Atif Masood Noori1, Abanoub Rushdy2, Hardik Fichadiya1
1Department of Medicine, Rutgers New Jersey Medical School, Elizabeth, NJ, USA.
Insights
Coronavirus disease 2019 (COVID-19) can cause myocarditis, even after recovery. This case report emphasizes studying long-term heart complications and using cardiac magnetic resonance for diagnosis.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiovascular Medicine
Background:
- Myocarditis cases linked to COVID-19 infection have been reported, varying from mild to severe outcomes.
- Cardiac injury is observed in asymptomatic and recovered COVID-19 patients, but prevalence data remain limited.
- Understanding cardiovascular involvement in COVID-19 is crucial for patient management.
Abstract:
Since the beginning of the coronavirus disease 2019 (COVID19) pandemic, several cases of myocarditis related to COVID-19 infection have been reported. These cases range from asymptomatic disease to fulminant heart failure or sudden cardiac death. Cardiac injury has also been found in asymptomatic patients and patients who recovered from the disease. Data regarding cardiovascular involvement due to COVID-19 infection are still limited, and the actual prevalence of myocarditis due to COVID-19 infection is still unknown. We present a case of focal myopericarditis in a patient recently recovered from COVID-19 pneumonia with electrocardiogram showing ST elevation in inferior and lateral leads. This case highlights the need for studying the long-term cardiovascular complications of COVID-19 and reinforces the use of cardiac magnetic resonance (CMR) and cardiac biomarkers in the diagnosis of COVID-19-related myocarditis.
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