COVID-19-associated myocarditis presenting as new-onset heart failure and atrial fibrillation
A 58-year-old man presented to the emergency department with recent-onset palpitations and progressive exertional dyspnoea. ECG demonstrated new-onset atrial fibrillation. Transthoracic echocardiogram showed global impairment in left ventricular systolic function with left ventricular ejection fract...
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| Veröffentlicht in: | BMJ case reports 2021-07, Vol.14 (7), p.e244027 |
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| creator | Gaine, Sean Devitt, Patrick Coughlan, John Joseph Pearson, Ian |
| description | A 58-year-old man presented to the emergency department with recent-onset palpitations and progressive exertional dyspnoea. ECG demonstrated new-onset atrial fibrillation. Transthoracic echocardiogram showed global impairment in left ventricular systolic function with left ventricular ejection fraction of 20%. Cardiac MRI (CMRI) demonstrated generalised severe myocarditis. A SARS-CoV-2 PCR was positive for SARS-CoV-2 RNA. As such, we diagnosed our patient with COVID-19-associated myocarditis based on CMRI appearances and positive SARS-CoV-2 swab. This case highlights that COVID-19-associated myocarditis can present as new atrial fibrillation and heart failure without the classic COVID-19-associated symptoms. |
| doi_str_mv | 10.1136/bcr-2021-244027 |
| format | Article |
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ECG demonstrated new-onset atrial fibrillation. Transthoracic echocardiogram showed global impairment in left ventricular systolic function with left ventricular ejection fraction of 20%. Cardiac MRI (CMRI) demonstrated generalised severe myocarditis. A SARS-CoV-2 PCR was positive for SARS-CoV-2 RNA. As such, we diagnosed our patient with COVID-19-associated myocarditis based on CMRI appearances and positive SARS-CoV-2 swab. This case highlights that COVID-19-associated myocarditis can present as new atrial fibrillation and heart failure without the classic COVID-19-associated symptoms.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2021-244027</identifier><identifier>PMID: 34253533</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Alcohol ; Biopsy ; Calcification ; Cardiac arrhythmia ; Cardiomyopathy ; Cardiovascular disease ; Case Report ; Case reports ; Coronary vessels ; Coronaviruses ; COVID-19 ; Edema ; Ejection fraction ; Heart failure ; Infections ; Myocarditis ; Pandemics ; Patients ; Severe acute respiratory syndrome coronavirus 2</subject><ispartof>BMJ case reports, 2021-07, Vol.14 (7), p.e244027</ispartof><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. 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ECG demonstrated new-onset atrial fibrillation. Transthoracic echocardiogram showed global impairment in left ventricular systolic function with left ventricular ejection fraction of 20%. Cardiac MRI (CMRI) demonstrated generalised severe myocarditis. A SARS-CoV-2 PCR was positive for SARS-CoV-2 RNA. As such, we diagnosed our patient with COVID-19-associated myocarditis based on CMRI appearances and positive SARS-CoV-2 swab. This case highlights that COVID-19-associated myocarditis can present as new atrial fibrillation and heart failure without the classic COVID-19-associated symptoms.</description><subject>Alcohol</subject><subject>Biopsy</subject><subject>Calcification</subject><subject>Cardiac arrhythmia</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Coronary vessels</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Edema</subject><subject>Ejection fraction</subject><subject>Heart failure</subject><subject>Infections</subject><subject>Myocarditis</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkctrVTEQxoNYbGm7dhtwI0JsnuexEeTWR6HQjYobCZPHaXM5J7kmOUr_--Zyi6ibzmYG5jcfM_Mh9JLRt4yJ7sLYTDjljHApKe-foRPWq570I_3-_K_6GJ2XsqUtBJODFC_QsZBcCSXECfqxufl2dUnYSKCUZANU7_BynyxkF2ooeJd98bGGeIuh4Oh_kxSLr_jOQ654gjCv2WOIDkPNAWY8BZPDPEMNKZ6hownm4s8f8yn6-vHDl81ncn3z6Wrz_poYKUQligtKRzZ6x4XthrEDJ5wy1kkqOjnZTo5WDkoMYFxvO2M8iJ5JNnjqZDcxcYreHXR3q1m8s23hDLPe5bBAvtcJgv63E8Odvk2_9MD7jg-8Cbx-FMjp5-pL1Uso1rczok9r0Vwpxll7Nm3oq__QbVpzbOftKapG3vOhURcHyuZUSvbTn2UY1Xv3dHNP793TB_faxJvDhFm2T8IPWEuZHw</recordid><startdate>20210712</startdate><enddate>20210712</enddate><creator>Gaine, Sean</creator><creator>Devitt, Patrick</creator><creator>Coughlan, John Joseph</creator><creator>Pearson, Ian</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6086-3279</orcidid><orcidid>https://orcid.org/0000-0002-9753-3916</orcidid></search><sort><creationdate>20210712</creationdate><title>COVID-19-associated myocarditis presenting as new-onset heart failure and atrial fibrillation</title><author>Gaine, Sean ; Devitt, Patrick ; Coughlan, John Joseph ; Pearson, Ian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b433t-52300919ed23c6896ad3d5bcd40364fc649c48538abd7c6bbea371418e0d46f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol</topic><topic>Biopsy</topic><topic>Calcification</topic><topic>Cardiac arrhythmia</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular disease</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Coronary vessels</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Edema</topic><topic>Ejection fraction</topic><topic>Heart failure</topic><topic>Infections</topic><topic>Myocarditis</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaine, Sean</creatorcontrib><creatorcontrib>Devitt, Patrick</creatorcontrib><creatorcontrib>Coughlan, John Joseph</creatorcontrib><creatorcontrib>Pearson, Ian</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaine, Sean</au><au>Devitt, Patrick</au><au>Coughlan, John Joseph</au><au>Pearson, Ian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COVID-19-associated myocarditis presenting as new-onset heart failure and atrial fibrillation</atitle><jtitle>BMJ case reports</jtitle><date>2021-07-12</date><risdate>2021</risdate><volume>14</volume><issue>7</issue><spage>e244027</spage><pages>e244027-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>A 58-year-old man presented to the emergency department with recent-onset palpitations and progressive exertional dyspnoea. ECG demonstrated new-onset atrial fibrillation. Transthoracic echocardiogram showed global impairment in left ventricular systolic function with left ventricular ejection fraction of 20%. Cardiac MRI (CMRI) demonstrated generalised severe myocarditis. A SARS-CoV-2 PCR was positive for SARS-CoV-2 RNA. As such, we diagnosed our patient with COVID-19-associated myocarditis based on CMRI appearances and positive SARS-CoV-2 swab. This case highlights that COVID-19-associated myocarditis can present as new atrial fibrillation and heart failure without the classic COVID-19-associated symptoms.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><pmid>34253533</pmid><doi>10.1136/bcr-2021-244027</doi><orcidid>https://orcid.org/0000-0001-6086-3279</orcidid><orcidid>https://orcid.org/0000-0002-9753-3916</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Alcohol Biopsy Calcification Cardiac arrhythmia Cardiomyopathy Cardiovascular disease Case Report Case reports Coronary vessels Coronaviruses COVID-19 Edema Ejection fraction Heart failure Infections Myocarditis Pandemics Patients Severe acute respiratory syndrome coronavirus 2 |
| title | COVID-19-associated myocarditis presenting as new-onset heart failure and atrial fibrillation |
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