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Recurrent Chest Pain after COVID-19: Diagnostic Utility of Cardiac Magnetic Resonance Imaging.

MedStar author(s):

Barac, Ana

Hashim, Hayder

Citation: CJC Open. 2021 Aug 21PMID: 34458709Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: Cardiovascular Disease Fellowship | Internal Medicine ResidencyForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021 ISSN:

2589-790X

Name of journal: CJC openAbstract: We report a case of myocarditis in an adult patient with recent COVID-19 infection presenting as recurrent ST-segment elevation, mimicking coronary vasospasm. This case highlights the wide range of presentations of COVID-19 related myocarditis. The novel teaching point is that COVID-19 myocarditis can present with acute manifestations such as chest pain and transient ST-segment elevation even several weeks after complete recovery from initial infection. CMR should be considered in patients with chest pain syndromes and angiographically normal coronary arteries as the presence of LGE and high T2 signal can be diagnostic. A follow up CMR may be used to assess resolution. Copyright (c) 2021 Published by Elsevier Inc. on behalf of Canadian Cardiovascular Society.All authors: Barac A, Hashim H, Hayat F, Mehta N, Satler LF, Singh M, Soria CEFiscal year: FY2022Digital Object Identifier:

https://dx.doi.org/10.1016/j.cjco.2021.08.003

Date added to catalog: 2021-11-01

Holdings ( 1 )
Title notes ( 2 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34458709	Available		34458709

We report a case of myocarditis in an adult patient with recent COVID-19 infection presenting as recurrent ST-segment elevation, mimicking coronary vasospasm. This case highlights the wide range of presentations of COVID-19 related myocarditis. The novel teaching point is that COVID-19 myocarditis can present with acute manifestations such as chest pain and transient ST-segment elevation even several weeks after complete recovery from initial infection. CMR should be considered in patients with chest pain syndromes and angiographically normal coronary arteries as the presence of LGE and high T2 signal can be diagnostic. A follow up CMR may be used to assess resolution. Copyright (c) 2021 Published by Elsevier Inc. on behalf of Canadian Cardiovascular Society.

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