COVID-19-Induced Myopericarditis Leading to Cardiac Tamponade: An Unusual Case Presentation
Coronavirus disease 2019 (COVID-19) can manifest differently in different patients, ranging from asymptomatic carriers to acute respiratory distress syndrome (ARDS). Cardiac involvement may occur with COVID-19 even without respiratory tract signs and symptoms of infection. Cardiac manifestations lik...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2022-07, Vol.14 (7) |
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| creator | Shah, Niel Saleh, Mohamed Jyala, Abhilasha Hayagreev, Vibha Saad, Muhammad |
| description | Coronavirus disease 2019 (COVID-19) can manifest differently in different patients, ranging from asymptomatic carriers to acute respiratory distress syndrome (ARDS). Cardiac involvement may occur with COVID-19 even without respiratory tract signs and symptoms of infection. Cardiac manifestations like heart failure (HF), myopericarditis, and cardiac arrhythmias are commonly reported. Cardiac injury with troponin leak is associated with increased mortality in COVID-19, and its clinical and radiographic features are difficult to distinguish from those of HF. COVID-19 is also known to cause pericardial inflammation, likely via direct cytotoxic effects or immune-mediated mechanisms. However, the definite mechanism is still unclear. We present here a case of myopericarditis complicated by pericardial effusion and cardiac tamponade in a COVID-19 infected patient with minimal pulmonary involvement. |
| doi_str_mv | 10.7759/cureus.27158 |
| format | Article |
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Cardiac involvement may occur with COVID-19 even without respiratory tract signs and symptoms of infection. Cardiac manifestations like heart failure (HF), myopericarditis, and cardiac arrhythmias are commonly reported. Cardiac injury with troponin leak is associated with increased mortality in COVID-19, and its clinical and radiographic features are difficult to distinguish from those of HF. COVID-19 is also known to cause pericardial inflammation, likely via direct cytotoxic effects or immune-mediated mechanisms. However, the definite mechanism is still unclear. We present here a case of myopericarditis complicated by pericardial effusion and cardiac tamponade in a COVID-19 infected patient with minimal pulmonary involvement.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.27158</identifier><identifier>PMID: 36017305</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Antibiotics ; Cardiac arrhythmia ; Cardiology ; Case reports ; Coronaviruses ; COVID-19 ; Cytotoxicity ; Disease transmission ; Dyspnea ; Ejection fraction ; Heart ; Hospitals ; Infections ; Infectious Disease ; Internal Medicine ; Medical imaging ; Mortality ; Myocarditis ; Pain ; Pathology ; Patients ; Pleural effusion ; Severe acute respiratory syndrome coronavirus 2 ; Steroids ; Ultrasonic imaging ; Viral infections ; Viruses</subject><ispartof>Curēus (Palo Alto, CA), 2022-07, Vol.14 (7)</ispartof><rights>Copyright © 2022, Shah et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). 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Cardiac involvement may occur with COVID-19 even without respiratory tract signs and symptoms of infection. Cardiac manifestations like heart failure (HF), myopericarditis, and cardiac arrhythmias are commonly reported. Cardiac injury with troponin leak is associated with increased mortality in COVID-19, and its clinical and radiographic features are difficult to distinguish from those of HF. COVID-19 is also known to cause pericardial inflammation, likely via direct cytotoxic effects or immune-mediated mechanisms. However, the definite mechanism is still unclear. We present here a case of myopericarditis complicated by pericardial effusion and cardiac tamponade in a COVID-19 infected patient with minimal pulmonary involvement.</description><subject>Antibiotics</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Case reports</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Cytotoxicity</subject><subject>Disease transmission</subject><subject>Dyspnea</subject><subject>Ejection fraction</subject><subject>Heart</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Infectious Disease</subject><subject>Internal Medicine</subject><subject>Medical imaging</subject><subject>Mortality</subject><subject>Myocarditis</subject><subject>Pain</subject><subject>Pathology</subject><subject>Patients</subject><subject>Pleural effusion</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Steroids</subject><subject>Ultrasonic imaging</subject><subject>Viral infections</subject><subject>Viruses</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUU1LxDAUDKKoqDd_QMGr1ZcmTVIPgqxfCyt62PXiIbwm6VrZTdakFfz3dl0RPc3jzTAzMIQcUziTsqzOTR9dn84KSUu1RfYLKlSuqOLbf-49cpTSGwBQkAVI2CV7TACVDMp98jJ6fB5f57TKx972xtns4TOsXGwNRtt2bcomDm3r51kXstH6hyab4nIVPFp3kV35bOb71ONiYJPLnqJLznfYtcEfkp0GF8kd_eABmd3eTEf3-eTxbjy6muSmUKLLG2agLAqpqBCcO14zoyyKRtmGlwxtYxtTKeSmHhArKCugBg2HGqTCGtgBudz4rvp66awZ8iMu9Cq2S4yfOmCr_zO-fdXz8KErVjHG-WBw8mMQw3vvUqffQh_90FkXEpQQYqg2qE43KhNDStE1vwkU9HoNvVlDf6_BvgBb0X2n</recordid><startdate>20220722</startdate><enddate>20220722</enddate><creator>Shah, Niel</creator><creator>Saleh, Mohamed</creator><creator>Jyala, Abhilasha</creator><creator>Hayagreev, Vibha</creator><creator>Saad, Muhammad</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20220722</creationdate><title>COVID-19-Induced Myopericarditis Leading to Cardiac Tamponade: An Unusual Case Presentation</title><author>Shah, Niel ; Saleh, Mohamed ; Jyala, Abhilasha ; Hayagreev, Vibha ; Saad, Muhammad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-f3c05227816644e4b3c8da6f8df453adfdfc98a4cbfc9a905901cac40b078ab03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Antibiotics</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Case reports</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Cytotoxicity</topic><topic>Disease transmission</topic><topic>Dyspnea</topic><topic>Ejection fraction</topic><topic>Heart</topic><topic>Hospitals</topic><topic>Infections</topic><topic>Infectious Disease</topic><topic>Internal Medicine</topic><topic>Medical imaging</topic><topic>Mortality</topic><topic>Myocarditis</topic><topic>Pain</topic><topic>Pathology</topic><topic>Patients</topic><topic>Pleural effusion</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Steroids</topic><topic>Ultrasonic imaging</topic><topic>Viral infections</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Niel</creatorcontrib><creatorcontrib>Saleh, Mohamed</creatorcontrib><creatorcontrib>Jyala, Abhilasha</creatorcontrib><creatorcontrib>Hayagreev, Vibha</creatorcontrib><creatorcontrib>Saad, Muhammad</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</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>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Niel</au><au>Saleh, Mohamed</au><au>Jyala, Abhilasha</au><au>Hayagreev, Vibha</au><au>Saad, Muhammad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COVID-19-Induced Myopericarditis Leading to Cardiac Tamponade: An Unusual Case Presentation</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2022-07-22</date><risdate>2022</risdate><volume>14</volume><issue>7</issue><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Coronavirus disease 2019 (COVID-19) can manifest differently in different patients, ranging from asymptomatic carriers to acute respiratory distress syndrome (ARDS). Cardiac involvement may occur with COVID-19 even without respiratory tract signs and symptoms of infection. Cardiac manifestations like heart failure (HF), myopericarditis, and cardiac arrhythmias are commonly reported. Cardiac injury with troponin leak is associated with increased mortality in COVID-19, and its clinical and radiographic features are difficult to distinguish from those of HF. COVID-19 is also known to cause pericardial inflammation, likely via direct cytotoxic effects or immune-mediated mechanisms. However, the definite mechanism is still unclear. We present here a case of myopericarditis complicated by pericardial effusion and cardiac tamponade in a COVID-19 infected patient with minimal pulmonary involvement.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><pmid>36017305</pmid><doi>10.7759/cureus.27158</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Antibiotics Cardiac arrhythmia Cardiology Case reports Coronaviruses COVID-19 Cytotoxicity Disease transmission Dyspnea Ejection fraction Heart Hospitals Infections Infectious Disease Internal Medicine Medical imaging Mortality Myocarditis Pain Pathology Patients Pleural effusion Severe acute respiratory syndrome coronavirus 2 Steroids Ultrasonic imaging Viral infections Viruses |
| title | COVID-19-Induced Myopericarditis Leading to Cardiac Tamponade: An Unusual Case Presentation |
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