Myocarditis and Myocardial Injury in Long COVID Syndrome: A Comprehensive Review of the Literature

Sai Sri Hari Paruchuri1, Umm E Farwa2, Shaista Jabeen3

  • 1Internal Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, IND.

Cureus
|August 28, 2023
PubMed

Insights

Long COVID can cause serious heart problems like myocardial injury and myocarditis in people of all ages. Early detection and management are crucial for better outcomes in cardiovascular complications.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) has led to widespread health issues globally.
  • Long COVID, a persistent condition post-infection, affects diverse age groups and physiological systems.
  • Cardiovascular complications are a significant concern in long COVID patients.

Purpose of the Study:

  • To review the association between long COVID and cardiovascular complications, specifically myocardial injury and myocarditis.
  • To examine the prevalence and risk factors of these cardiac issues in long COVID.
  • To discuss diagnostic methods and therapeutic strategies for COVID-19-related myocarditis.

Main Methods:

  • Literature review focusing on studies linking long COVID to cardiovascular sequelae.
  • Analysis of diagnostic techniques including ECG, troponin levels, MRI, and endomyocardial biopsy.
  • Examination of current treatment guidelines and risk factor identification.

Main Results:

  • Myocardial injury in long COVID stems from direct cellular damage and T-cell responses, indicated by elevated cardiac biomarkers.
  • Myocarditis diagnosis can be aided by ECG, troponin, and MRI, with endomyocardial biopsy as the gold standard.
  • Identifying specific risk factors for cardiovascular complications in long COVID patients is essential.

Conclusions:

  • Effective screening for vulnerable populations and further research into the long-term physical health impacts of long COVID are critical.
  • Guideline-directed medical therapy and comprehensive care management improve prognosis for COVID-19 myocarditis.
  • Understanding and addressing cardiovascular complications are vital for managing the long-term burden of COVID-19.

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