Fulminant myocarditis with complete atrioventricular block after mRNA COVID-19 vaccination: A case report.

BNT162b2 Complete atrioventricular block Coronavirus disease 2019 Eosinophilic myocarditis Hypersensitivity myocarditis mRNA

Journal

Journal of cardiology cases
ISSN: 1878-5409
Titre abrégé: J Cardiol Cases
Pays: Japan
ID NLM: 101549579

Informations de publication

Date de publication:
May 2023
Historique:
received: 09 08 2022
revised: 20 12 2022
accepted: 04 01 2023
medline: 14 2 2023
pubmed: 14 2 2023
entrez: 13 2 2023
Statut: ppublish

Résumé

A 71-year-old man was transferred urgently to our hospital after collapsing near his home post the first shot of the BNT162b2 coronavirus disease 2019 vaccine (Pfizer-BioNTech, Comirnaty®). Immediately after arrival at our hospital, cardiac arrest due to complete atrioventricular block with no ventricular escaped beats was observed on electrocardiogram. Echocardiography showed preserved left ventricular ejection fraction, however, diffuse severe hypokinesia was revealed after 3 weeks, and he died 3 months after admission because of worsening heart failure. An autopsy examination revealed eosinophilic myocarditis or hypersensitivity myocarditis with extensive fibrosis and widespread myocardial dropout throughout the heart. 1. Severe myocarditis occurs extremely rarely after mRNA coronavirus disease 2019 (COVID-19) vaccination. 2. Myocarditis after mRNA COVID-19 vaccination might cause complete atrioventricular block, followed by a course of decreased left ventricular ejection fraction. 3. Histologically, severe myocarditis after mRNA COVID-19 vaccination seems to present as fulminant necrotizing eosinophilic myocarditis or hypersensitivity myocarditis.

Identifiants

pubmed: 36779079
doi: 10.1016/j.jccase.2023.01.004
pii: S1878-5409(23)00005-1
pmc: PMC9906563
doi:

Types de publication

Case Reports

Langues

eng

Pagination

229-232

Informations de copyright

© 2023 Japanese College of Cardiology. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

None.

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Auteurs

Naoaki Onishi (N)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Yuki Konishi (Y)

Japanese Red Cross Otsu Hospital, Otsu, Japan.

Toshiyuki Kaneko (T)

Japanese Red Cross Otsu Hospital, Otsu, Japan.

Naohiro Maekawa (N)

Japanese Red Cross Otsu Hospital, Otsu, Japan.
Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.

Akihira Suenaga (A)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Shinnosuke Nomura (S)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.
Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.

Takayasu Kobayashi (T)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Shokan Kyo (S)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Marie Okabayashi (M)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Hirooki Higami (H)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Maki Oi (M)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Nobuya Higashitani (N)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Sayaka Saijo (S)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Fumiko Nakazeki (F)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Naofumi Oyamada (N)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Toshikazu Jinnai (T)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Tomoko Okuno (T)

Division of Pathology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Tomoyuki Shirase (T)

Division of Pathology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Kazuaki Kaitani (K)

Division of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, Japan.

Classifications MeSH