Key result
Among 19 reviewed cases of COVID-19 with cardiac complications, myocarditis was the most common manifestation (42.1%), often presenting with elevated troponins and ST elevations mimicking acute myocardial infarction.
Why the study?
Cardiovascular involvement in Covid-19 is associated with increased mortality and has various clinical manifestations.
COVID-19 can present with focal pericarditis that mimics acute myocardial infarction, highlighting the importance of echocardiography in differentiating these conditions.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to ST-elevation events in COVID-19 ARDS; hypothesis-generating and leaves open mechanisms pending larger studies.
The novel coronavirus disease (Covid-19) continues to spread all over the world with acute respiratory distress syndrome and multiorgan failure being a significant cause of morbidity and mortality. The involvement of the cardiovascular system is associated with increased mortality and there have been various manifestations reported in the literature. We present a case of a patient requiring intensive care unit (ICU) admission for acute respiratory distress syndrome from Covid-19 who developed ST elevations in inferior leads in electrocardiogram (ECG) and elevated troponins. The changes resolved in serial ECG accompanied by normalization of blood troponin levels. His subsequent echocardiogram did not reveal any abnormalities in wall motion or heart function leading to a diagnosis of focal pericarditis mimicking an acute myocardial infarction. We also present a review of literature on various cardiac manifestations reported so far in cases of Covid-19.
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Bhandari et al. (2021) conducted a review in COVID-19 with cardiac manifestations (n=19). COVID-19 infection was evaluated on Types of cardiac manifestations. Among 19 reviewed cases of COVID-19 with cardiac complications, myocarditis was the most common manifestation (42.1%), often presenting with elevated troponins and ST elevations mimicking acute myocardial infarction.
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