tetano
Editor, Senior Moderator
J Community Hosp Intern Med Perspect
. 2021 May 10;11(3):315-321.
doi: 10.1080/20009666.2021.1896429.
COVID-19 pericarditis mimicking an acute myocardial infarction: a case report and review of literature
Binita Bhandari[SUP] 1 [/SUP], Sunita Neupane[SUP] 1 [/SUP], Resha Khanal[SUP] 1 [/SUP], Kriti Lnu[SUP] 1 [/SUP], Yijin Wert[SUP] 1 [/SUP], Saketram Komanduri[SUP] 1 [/SUP]
Affiliations
Abstract
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.
Keywords: Coronavirus; covid-19; myocardial ischemia; pericarditis; viral pericarditis.
. 2021 May 10;11(3):315-321.
doi: 10.1080/20009666.2021.1896429.
COVID-19 pericarditis mimicking an acute myocardial infarction: a case report and review of literature
Binita Bhandari[SUP] 1 [/SUP], Sunita Neupane[SUP] 1 [/SUP], Resha Khanal[SUP] 1 [/SUP], Kriti Lnu[SUP] 1 [/SUP], Yijin Wert[SUP] 1 [/SUP], Saketram Komanduri[SUP] 1 [/SUP]
Affiliations
- PMID: 34191989
- PMCID: PMC8108184
- DOI: 10.1080/20009666.2021.1896429
Abstract
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.
Keywords: Coronavirus; covid-19; myocardial ischemia; pericarditis; viral pericarditis.