tetano
Editor, Senior Moderator
Cureus
. 2022 Apr 6;14(4):e23894.
doi: 10.7759/cureus.23894. eCollection 2022 Apr.
COVID-Induced Fulminant Myocarditis
Miguel A Rodriguez Guerra[SUP] 1 [/SUP], Ramona Lappot[SUP] 2 [/SUP], Ana P Urena[SUP] 3 [/SUP], Timothy Vittorio[SUP] 4 [/SUP], Gabriella Roa Gomez[SUP] 5 [/SUP]
Affiliations
Abstract
Viral-induced myocarditis has different presentations, from being asymptomatic to fatal arrhythmias. It is crucial to recognize and treat this condition early to improve morbidity and mortality. We report a case of a 56-year-old male who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) three days ago and presented with syncope. The physical exam was relevant for right eyebrow laceration, tachycardia, and hypotension that responded to intravenous fluid, but two hours later, he had mental status changes, bradycardia, hypotension, and cardiac arrest. His repeated electrocardiogram (ECG) showed diffuse ST-segment elevation. Troponemia was evident in his blood work. Point-of-care ultrasound (POCUS) at the bedside showed dilated cardiomyopathy. Unfortunately, the patient re-arrested and needed advanced cardiovascular life support (ACLS). The initial assessment of SARS-CoV-2, serial ECGs, and cardiac markers are essential for a prompt approach and therapy in COVID-19-induced myocarditis.
Keywords: coronavirus; fulminant myocarditis; myocarditis; sars-cov-2; sudden death.
. 2022 Apr 6;14(4):e23894.
doi: 10.7759/cureus.23894. eCollection 2022 Apr.
COVID-Induced Fulminant Myocarditis
Miguel A Rodriguez Guerra[SUP] 1 [/SUP], Ramona Lappot[SUP] 2 [/SUP], Ana P Urena[SUP] 3 [/SUP], Timothy Vittorio[SUP] 4 [/SUP], Gabriella Roa Gomez[SUP] 5 [/SUP]
Affiliations
- PMID: 35530896
- PMCID: PMC9076055
- DOI: 10.7759/cureus.23894
Abstract
Viral-induced myocarditis has different presentations, from being asymptomatic to fatal arrhythmias. It is crucial to recognize and treat this condition early to improve morbidity and mortality. We report a case of a 56-year-old male who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) three days ago and presented with syncope. The physical exam was relevant for right eyebrow laceration, tachycardia, and hypotension that responded to intravenous fluid, but two hours later, he had mental status changes, bradycardia, hypotension, and cardiac arrest. His repeated electrocardiogram (ECG) showed diffuse ST-segment elevation. Troponemia was evident in his blood work. Point-of-care ultrasound (POCUS) at the bedside showed dilated cardiomyopathy. Unfortunately, the patient re-arrested and needed advanced cardiovascular life support (ACLS). The initial assessment of SARS-CoV-2, serial ECGs, and cardiac markers are essential for a prompt approach and therapy in COVID-19-induced myocarditis.
Keywords: coronavirus; fulminant myocarditis; myocarditis; sars-cov-2; sudden death.
