Table 1.
Study | Case | Clinical | Troponin | NT-proBNP | ECG | TTE | CMR | EMB | Outcome |
---|---|---|---|---|---|---|---|---|---|
Inciardi et al.7 | 53 M | Cough Fatigue Fever |
Troponin T: 0.24 ng/mL | 5647 pg/mL | Minimal diffuse ST segment elevation (more prominent in inferolateral leads) and ST depression with T wave inversion in lead V1 and aVR | LVEF 40% | Short tau inversion recovery and T2 mapping sequences showing biventricular myocardial interstitial edema. Inversion recovery sequences showing biventricular wall diffuse LGE | N/A | Clinical improvement |
Zeng et al.5 | 63 M | Chest pain Cough Dyspnea Fever Sputum |
Troponin I: 11.37 g/L | 22,600 pg/mL | Sinus tachycardia, no ST elevation | LVEF 32% | N/A | N/A | ECMO as a bridge to clinical recovery |
Hu et al.8 | 37 M | Chest pain Diarrhea Dyspnea |
Troponin T: > 10,000 ng/L | 21,025 ng/L | ST segment elevation in lead 3, aVF | LVEF 27% | N/A | N/A | Clinical recovery |
Tavazzi et al.18 | 69 M | Cough Dyspnea Weakness |
Troponin I: 4331 ng/L | N/A | N/A | LVEF 34% | N/A | CD68+ macrophages with viral particles noted. No virus in cardiac myocytes | Death from bacterial sepsis |
Sala et al.36 | 43 F | Chest pain Dyspnea |
Troponin T: 135 ng/L | 512 pg/mL | Atrial ectopic rhythm, mild ST segment elevation in V1, V2, aVR; reciprocal ST depression in V4-V6 | LVEF 43% | Basal and mid-LV hypokinesis with diffuse myocardial edema. LGE showed absence of scar and necrosis | Diffuse T-lymphocytic inflammatory infiltrates with interstitial edema and limited necrosis. No viral genome in myocardium | Clinical recovery |
Doyen et al.37 | 69 M | Cough Diarrhea Dyspnea Fever Vomiting |
Troponin I: 9002 ng/L | N/A | Criteria for left ventricular hypertrophy and diffuse inverted T waves | LVEF > 50% | Subepicardial LGE of the apex and inferolateral wall | N/A | Clinical recovery |
Coyle et al.38 | 57 M | Cough Diarrhea Dyspnea Fever Nausea |
Troponin I: 7.33 ng/mL | 1300 pg/mL | Sinus tachycardia, no ST-T wave changes | LVEF 35%-40% | Diffuse biventricular and biatrial edema with a small area of LGE | N/A | Clinical recovery |
Luetkens et al.39 | 79 M | Dyspnea Fatigue Syncope |
Troponin T: 63.5 ng/L | 1178 pg/mL | Normal | LVEF > 50% | Diffuse interstitial myocardial edema with an increased T2 signal intensity ratio. T2 mapping showed diffuse myocardial inflammation | N/A | Clinical recovery |
Kim et al.40 | 21 F | Cough Diarrhea Dyspnea Fever Sputum |
Troponin I: 1.26 ng/mL | 1929 pg/mL | Nonspecific interventricular conduction delay and multiple premature ventricular complexes | LVEF < 35% | Diffuse high signal intensity in the LV myocardium on T2 short tau inversion recovery image, and myocardial wall edema. Extensive transmural LGE | N/A | N/A |
CMR, cardiac magnetic resonance; ECG, electrocardiogram; ECMO, extracorporeal membrane oxygenator; F, female; EMB, endomyocardial biopsy; LGE, late gadolinium enhancement; LV, left ventricular; LVEF, left ventricular ejection fraction, M, male; N/A, not available; NT-proBNP, N terminal pro B type natriuretic peptide; TTE, transthoracic echocardiography.