The Spectrum of COVID-19-Associated Myocarditis: A Patient-Tailored Multidisciplinary Approach.
COVID-19
SARS-CoV-2
cardiac magnetic resonance
endomyocardial biopsy
immunosuppression
inflammation
multidisciplinary
myocarditis
ventricular arrhythmias
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
04 May 2021
04 May 2021
Historique:
received:
17
03
2021
revised:
08
04
2021
accepted:
22
04
2021
entrez:
2
6
2021
pubmed:
3
6
2021
medline:
3
6
2021
Statut:
epublish
Résumé
Myocarditis lacks systematic characterization in COVID-19 patients. We enrolled consecutive patients with newly diagnosed myocarditis in the context of COVID-19 infection. Diagnostic and treatment strategies were driven by a dedicated multidisciplinary disease unit for myocarditis. Multimodal outcomes were assessed during prospective follow-up. Seven consecutive patients (57% males, age 51 ± 9 y) with acute COVID-19 infection received a de novo diagnosis of myocarditis. Endomyocardial biopsy was of choice in hemodynamically unstable patients ( Myocarditis associated with acute COVID-19 infection is a spectrum of clinical manifestations and underlying etiologies. A multidisciplinary approach is the cornerstone for tailored management.
Sections du résumé
BACKGROUND
BACKGROUND
Myocarditis lacks systematic characterization in COVID-19 patients.
METHODS
METHODS
We enrolled consecutive patients with newly diagnosed myocarditis in the context of COVID-19 infection. Diagnostic and treatment strategies were driven by a dedicated multidisciplinary disease unit for myocarditis. Multimodal outcomes were assessed during prospective follow-up.
RESULTS
RESULTS
Seven consecutive patients (57% males, age 51 ± 9 y) with acute COVID-19 infection received a de novo diagnosis of myocarditis. Endomyocardial biopsy was of choice in hemodynamically unstable patients (
CONCLUSIONS
CONCLUSIONS
Myocarditis associated with acute COVID-19 infection is a spectrum of clinical manifestations and underlying etiologies. A multidisciplinary approach is the cornerstone for tailored management.
Identifiants
pubmed: 34064463
pii: jcm10091974
doi: 10.3390/jcm10091974
pmc: PMC8124580
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Circulation. 2020 Jun 9;141(23):1903-1914
pubmed: 32297796
Europace. 2016 Dec;18(12):1850-1859
pubmed: 26589624
Cardiovasc Pathol. 2012 Nov-Dec;21(6):476-81
pubmed: 22425629
Pacing Clin Electrophysiol. 2020 Aug;43(8):891-893
pubmed: 32543745
J Am Coll Cardiol. 2018 Dec 18;72(24):3158-3176
pubmed: 30545455
J Interv Card Electrophysiol. 2020 May 18;:1-7
pubmed: 32425656
Heart Rhythm. 2019 May;16(5):793-801
pubmed: 30476544
JACC Cardiovasc Imaging. 2021 Jan;14(1):288-292
pubmed: 32305473
Circ Heart Fail. 2020 Nov;13(11):e007405
pubmed: 33176455
JACC Clin Electrophysiol. 2020 Oct;6(10):1221-1234
pubmed: 33092747
JACC Cardiovasc Imaging. 2020 Nov;13(11):2462-2465
pubmed: 32654966
Ann Intern Med. 2018 Dec 4;169(11):819-820
pubmed: 30073251
Circ Heart Fail. 2020 Nov 12;:CIRCHEARTFAILURE120007636
pubmed: 33176456
Eur Heart J. 2020 Jun 7;41(22):2124-2125
pubmed: 32363406
Eur Heart J. 2020 May 14;41(19):1861-1862
pubmed: 32267502
Eur Heart J. 2009 Aug;30(16):1995-2002
pubmed: 19556262
Eur Heart J. 2020 Oct 14;41(39):3827-3835
pubmed: 32968776
JAMA. 2020 May 12;323(18):1824-1836
pubmed: 32282022
Am Heart J. 2020 Nov;229:121-126
pubmed: 32957030
Circulation. 2007 Jan 2;115(1):76-83
pubmed: 17179019
Eur J Intern Med. 2020 Jul;77:9-17
pubmed: 32402564
Nat Rev Cardiol. 2021 Mar;18(3):169-193
pubmed: 33046850
J Am Coll Cardiol. 2020 Mar 10;75(9):1046-1057
pubmed: 32138965
Eur Heart J. 2013 Sep;34(33):2636-48, 2648a-2648d
pubmed: 23824828
Clin Chem. 2020 Apr 1;66(4):549-555
pubmed: 32031583