Table 2.
Review of cases reporting the association COVID-19 and pericardial disease
| Age/Sex | Past medical history | Symptoms | ECG findings | Echo findings | Troponin | Diagnosis | Outcome | |
|---|---|---|---|---|---|---|---|---|
|
Inciardi et al. 2020 JAMA Cardiol |
53/F | None | Fever, cough, fatigue | Low voltage in limb leads; diffuse ST elevation; ST depression with T-wave inversion in V1, aVR | Diffuse LV hypokinesis, LVEF 40%, circumferential pericardial effusion | Elevated | Myopericarditis | Recovery |
|
Hua et al. 2020 Eur Heart J |
47/F | Previous myocarditis | Cough, chest pain, dyspnea | Sinus tachycardia; concave ST elevation in infero-lateral leads | Normal LV function, pericardial effusion with cardiac tamponade | Elevated | Myopericarditis and cardiac tamponade | Recovery |
|
Hu et al. 2020 Eur Heart J |
37/M | None | Chest pain, dyspnea, diarrhea | ST elevation in III, aVF | Enlarged heart, LVEF 27%, pericardial effusion | Elevated | Fulminant myocarditis | Recovery |
|
Khatri et al. 2020 Heart Lung |
50/M | Hypertension, ischemic stroke | Fever, cough, dyspnea, near-syncope | Sinus tachycardia; ST elevation in II, III, aVF; ST depression in I, aVL | Severe global LV dysfunction; enlarged RV, RV dysfunction, pericardial effusion with cardiac tamponade | Elevated | Purulent fulminant myopericarditis and cardiac tamponade | Death |
|
Fried et al. 2020 Circulation |
64/F | Hypertension, hyperlipidemia | Chest pain | Sinus tachycardia; ST elevation in I, II, aVL, V2-V6; ST depression and PR elevation in aVR | Severe concentric LV hypertrophy, LVEF 30%, dilated and hypokinetic RV, circumferential pericardial effusion | Elevated | Myopericarditis | Recovery |
|
Cizgici et al. 2020 Am J Emerg Med |
78/M | Hypertension | Chest pain, dyspnea | Atrial fibrillation; diffuse concave ST elevation | Elevated | Myopericarditis | Recovery | |
|
Irabien-Ortiz et al. 2020 Rev Esp Cardiol |
59/F | Hypertension | Chest pain | Diffuse ST elevation and PR depression | Concentric hypertrophy, LVEF normal, moderate pericardial effusion | Elevated | Fulminant myocarditis | Recovery |
|
Kumar et al. 2020 BMJ Case Rep |
66/M | Crohn’s disease, hypertension | Chest pain | ST elevation in most leads & PR depression | Echo bright pericardium | Normal | Acute pericarditis | Recovery |
|
Dabbagh et al. 2020 JACC Case Rep |
67/F | Non-ischemic cardiomyopathy with low EF | Left shoulder pain, cough, dyspnea | Low voltage in limb leads; non-specific ST-segment changes | LVEF 40%, pericardial effusion with cardiac tamponade | Normal | Cardiac tamponade | Recovery |
|
Demertzis et al. 2020 Eur Heart J Case Rep |
67/F | Non-ischemic cardiomyopathy with EF 50%, hypertension | Cough, dyspnea | Normal | Pericardial effusion with cardiac tamponade | Elevated | Cardiac tamponade | Recovery |
|
Farina et al. 2020 Eur J Intern Med |
59/M | Fever, dyspnea | Pericardial effusion with cardiac tamponade | Elevated | Cardiac tamponade | Recovery | ||
|
Purohit et al. 2020 Am J Case Rep |
82/F | Multiple comorbidities | Cough, fever, diarrhea | Diffuse T-waves inversion; prolonged QT interval | LVEF normal, pericardial effusion with cardiac tamponade | Elevated | Myopericarditis and cardiac tamponade | Recovery |
|
Asif et al. 2020 Eur J Case Rep Intern Med |
70/F | Diabetes mellitus, hypertension, hyperlipidemia, NSTEMI | Chest pain, dyspnea | Diffuse ST elevation and PR depression | LVEF normal, pericardial effusion with cardiac tamponade | Acute pericarditis and cardiac tamponade | Recovery | |
|
Walker et al. 2020 J Med Case Rep |
30/F | None | Fever, cough, chest pain | Sinus tachycardia | Pericardial effusion with cardiac tamponade | Acute pericarditis and cardiac tamponade | Recovery | |
|
Fox et al. 2020 Cureus |
43/M | None | Fever, cough, dyspnea, chest pain | Sinus tachycardia; diffuse concave ST-elevation and PR depression; PR-elevation in aVR | Pericardial effusion with cardiac tamponade | Normal | Acute pericarditis and cardiac tamponade | Recovery |
|
Amoozgar et al. 2020 Medicine (Baltimore) |
56/M | Gout | Chest pain, dyspnea | Atrial fibrillation | Circumferential pericardial effusion with mildly thickened pericardium | Normal | Acute pericarditis | Recovery |
|
Blagojevic et al. 2020 Int J Infect Dis |
51/M | Hypertension | Chest pain | Diffuse ST elevation and PR depression in II-III-aVF, V2-V6 | Pericardial effusion | Normal | Acute pericarditis | Recovery |
|
Ozturan et al. 2020 Clin Exp Emerg Med |
25/M | None | Chest pain, dyspnea | Sinus tachycardia; ST elevation & PR depression in I, aVL, V5, V6; ST depression & PR elevation in aVR | LVEF 35%, diffuse hypokinesia | Elevated | Myopericarditis | Recovery |
|
Sauer et al. 2020 Eur Heart J Case Rep |
51/M | Asthma, active smoking | Chest pain, dyspnea | Anterolateral ST-elevation with a low QRS voltage | Pericardial effusion with cardiac tamponade | Elevated | Acute pericarditis and cardiac tamponade | Recovery |
| 60/M | Active smoking | Shivers, diffuse erythema | Flattened T waves in lateral leads | LVEF normal, pericardial effusion | Elevated | Myopericarditis | Recovery | |
| 84/F | Hypertension, hyperlipidemia | Fever, dyspnea | Pericardial effusion with cardiac tamponade | Normal | Polyserositis complicated by cardiac tamponade | Recovery | ||
|
Thrupthi et al. 2021 Cureus |
68/M | Hypertension, osteoarthritis | Fever, cough, dyspnea, chest pain | ST elevation in leads II, III, aVF, and V4-V6 | Normal | Normal | Acute pericarditis | Recovery |
|
Faraj et al. 2021 Ann Med Surg (Lond) |
36/M | None | Chest pain, dyspnea | Normal | Pericardial effusion | Normal | Acute pericarditis | Recovery |
|
Patel et al. 2021 AME Case Rep |
63/M | Hypertension | Fever, cough, chest pain | Diffuse concave ST elevations and PR depression | LVEF normal, pericardial effusion | Normal | Acute pericarditis | Recovery |
|
Cairns et al. 2021 J Med Case Rep |
58/F | Diabetes mellitus, hypertension | Fever, diarrhea, vomit | Pericardial effusion with cardiac tamponade | Elevated | Myopericarditis and cardiac tamponade | Recovery |
LVEF left ventricular ejection fraction, NSTEMI non-ST segment elevation myocardial infarction, LV left ventricular, RV right ventricular