Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series
(1) Background: Emerging data indicate that the ongoing COVID-19 pandemic may result in long-term cardiovascular complications, among which long COVID-19 myocarditis seems to be one of the most dangerous. Clinical presentation of cardiac inflammation ranges from almost asymptomatic to life-threateni...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/9/12/427 |
| _version_ | 1827638383391801344 |
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| author | Justyna Rohun Karolina Dorniak Anna Faran Anna Kochańska Dariusz Zacharek Ludmiła Daniłowicz-Szymanowicz |
| author_facet | Justyna Rohun Karolina Dorniak Anna Faran Anna Kochańska Dariusz Zacharek Ludmiła Daniłowicz-Szymanowicz |
| author_sort | Justyna Rohun |
| collection | DOAJ |
| description | (1) Background: Emerging data indicate that the ongoing COVID-19 pandemic may result in long-term cardiovascular complications, among which long COVID-19 myocarditis seems to be one of the most dangerous. Clinical presentation of cardiac inflammation ranges from almost asymptomatic to life-threatening conditions, including heart failure (HF) in different stages. (2) Methods: This is a retrospective case-series study that includes three adults with different clinical presentations of heart failure on grounds of myocarditis after initial COVID-19 infection. (3) Results: All patients had new-onset symptomatic HF of various severity: from a moderately reduced left ventricular ejection fraction in one patient to significantly reduced fractions in the remaining two. Moreover, complex ventricular arrhythmias were present in one case. All patients had confirmed past myocarditis in cardiac magnetic resonance. With optimal medical treatment, cardiac function improved, and the symptoms subsided in all cases. (4) Conclusions: In COVID-19 patients, long COVID myocarditis may be one of the severe complications of this acute disease. The heterogeneity in clinical symptoms and a paucity of specific diagnostic procedures expose the patient to the significant risk of misdiagnosing and further HF development. |
| first_indexed | 2024-03-09T16:16:40Z |
| format | Article |
| id | doaj.art-3d2d2ba03e304beb82849c5f1b9ff10f |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-09T16:16:40Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-3d2d2ba03e304beb82849c5f1b9ff10f2023-11-24T15:41:36ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252022-11-0191242710.3390/jcdd9120427Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case SeriesJustyna Rohun0Karolina Dorniak1Anna Faran2Anna Kochańska3Dariusz Zacharek4Ludmiła Daniłowicz-Szymanowicz5Department of Cardiology and Electrotherapy, Medical University of Gdansk, 80-214 Gdansk, PolandDepartment of Noninvasive Cardiac Diagnostics, Medical University of Gdansk, 80-214 Gdansk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, 80-214 Gdansk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, 80-214 Gdansk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, 80-214 Gdansk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, 80-214 Gdansk, Poland(1) Background: Emerging data indicate that the ongoing COVID-19 pandemic may result in long-term cardiovascular complications, among which long COVID-19 myocarditis seems to be one of the most dangerous. Clinical presentation of cardiac inflammation ranges from almost asymptomatic to life-threatening conditions, including heart failure (HF) in different stages. (2) Methods: This is a retrospective case-series study that includes three adults with different clinical presentations of heart failure on grounds of myocarditis after initial COVID-19 infection. (3) Results: All patients had new-onset symptomatic HF of various severity: from a moderately reduced left ventricular ejection fraction in one patient to significantly reduced fractions in the remaining two. Moreover, complex ventricular arrhythmias were present in one case. All patients had confirmed past myocarditis in cardiac magnetic resonance. With optimal medical treatment, cardiac function improved, and the symptoms subsided in all cases. (4) Conclusions: In COVID-19 patients, long COVID myocarditis may be one of the severe complications of this acute disease. The heterogeneity in clinical symptoms and a paucity of specific diagnostic procedures expose the patient to the significant risk of misdiagnosing and further HF development.https://www.mdpi.com/2308-3425/9/12/427myocarditisheart failureCOVID-19 |
| spellingShingle | Justyna Rohun Karolina Dorniak Anna Faran Anna Kochańska Dariusz Zacharek Ludmiła Daniłowicz-Szymanowicz Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series Journal of Cardiovascular Development and Disease myocarditis heart failure COVID-19 |
| title | Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series |
| title_full | Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series |
| title_fullStr | Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series |
| title_full_unstemmed | Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series |
| title_short | Long COVID-19 Myocarditis and Various Heart Failure Presentations: A Case Series |
| title_sort | long covid 19 myocarditis and various heart failure presentations a case series |
| topic | myocarditis heart failure COVID-19 |
| url | https://www.mdpi.com/2308-3425/9/12/427 |
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