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COVID-19 Myocarditis: An Emerging Clinical Conundrum

Ivana Okor1, Tamunoinemi Bob-Manuel2, Justin Price1

  • 1John Ochsner Heart and Vascular Center, New Orleans, LA, USA.

Current Problems in Cardiology
|June 1, 2022
PubMed

Insights

Coronavirus Disease 2019 (COVID-19) can cause heart inflammation (myocarditis). This review explores COVID-19

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pathology

Background:

  • Coronavirus Disease 2019 (COVID-19) is a global health crisis, primarily known for respiratory illness.
  • Emerging evidence links COVID-19 to significant cardiovascular complications, including myocarditis.
  • Myocarditis, an inflammation of the heart muscle, is often viral but its specific role in COVID-19 requires further investigation.

Purpose of the Study:

  • To review the clinical presentation of myocarditis in COVID-19 patients.
  • To explore the proposed pathophysiology of cardiac injury in COVID-19.
  • To discuss differential diagnoses and management strategies for COVID-19-associated myocarditis.

Main Methods:

  • Literature review of existing case reports and studies.
  • Analysis of clinical data on COVID-19 patients with cardiac involvement.
  • Synthesis of current understanding regarding viral-induced myocarditis.

Main Results:

  • COVID-19 can present with various cardiovascular issues, notably myocarditis.
  • The exact mechanisms of cardiac injury in COVID-19-related myocarditis are still under investigation.
  • Myocarditis in COVID-19 patients shows diverse clinical presentations.

Conclusions:

  • Myocarditis is a recognized, albeit not fully understood, cardiovascular complication of COVID-19.
  • Further research is crucial to elucidate the pathophysiology and guide optimal management.
  • Prompt recognition and appropriate care are essential for patients with COVID-19 and suspected myocarditis.

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