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. 2021 Jun 30;10(2):377–396. doi: 10.1007/s40119-021-00232-8

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