Corary vasospasm may be an underlying cause of chest pain in patients presenting with COVID-19 vaccine-related myocarditis.
Vasospasm may contribute to chest pain in vaccine-associated myocarditis; leaves open confirmation in larger cohorts.
We present a 13-year-old boy who had recurrent chest pain with elevated cardiac enzymes and abnormal ST segments in electrocardiogram 36 hours after the second dose of BNT162b2 vaccination. Cardiac MRI and coronary angiography with acetylcholine provocation confirmed myocarditis and vasospastic angina, respectively. Coronary vasospasm may play a pivotal role in the chest pain in COVID-19 vaccine-related myocarditis.
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Tanaka et al. (2023) studied this question.
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