Cardiovascular Adverse Event |
Age (years) |
Gender |
Viral serologies |
Cardiac Biomarkers |
Inflammatory Markers |
Transthoracic Echocardiogram |
Cardiac MRI |
Coronary Evaluation |
Myocarditis |
Patient 1 |
19 |
Male |
HIV, influenza, RSV, and SARS-CoV-2 negative |
Troponin T: 1.37 ng/mL (reference range: <0.03 ng/mL) |
CRP: 1.8 mg/dL (reference range: <0.80 mg/dL); ESR: 26 mm/hour (reference range: < 20 mm/hour) |
LVEF: 47%; LVIDd: 4.7 cm; Normal RV size and function; No valvular disease |
LVEF: 56%; LVEDVi: 84 mL/m2; RVEF: 54%; RVEDVi: 86 mL/m2; Subepicardial LGE involving the basal to mid lateral wall, with corresponding elevated native T1 and T2 values |
Coronary angiography: No coronary artery disease or anomalies |
Patient 2 |
18 |
Male |
HIV, influenza, RSV, and SARS-CoV-2 negative |
High-sensitivity troponin: 7,206 ng/L 32,140 ng/L (reference range: <15 ng/L) |
CRP: 74.2 mg/L (reference range: <10 mg/L); ESR: 29 mm/hour (reference range: <15 mm/hour) |
LVEF: 59% 50%, LVIDd: 4.8 cm; Normal RV size and function; No valvular disease |
LVEF: 53%; LVEDVi: 101 mL/m2; RVEF: 49%; RVEDVi: 118 mL/m2; Subepicardial LGE involving the mid lateral wall, with corresponding elevated native T1 and T2 values |
Coronary computed tomography angiography: No coronary artery disease or anomalies |
Stress Cardiomyopathy |
Patient 1 |
60 |
Female |
SARS-CoV-2, influenza, and RSV negative |
Troponin T: 0.129 ng/mL (reference range: <0.03 ng/mL) |
Not checked |
LVEF: 44%; LVIDd: 3.5 cm; Normal RV size and function; Apical akinesis |
Not performed |
Coronary angiography: Patent LAD stent |
Pericarditis |
|
Patient 1 |
21 |
Female |
SARS-CoV-2, HIV negative |
Troponin T: undetectable |
CRP: 72.6 mg/L (reference range: <3 mg/L); ESR: 9 mm/hour (reference range: <19 mm/hour) |
LVEF: 60%; LVIDd: 4.5 cm; Normal RV size and function; Small pericardial effusion |
Not performed |
Not performed |
Patient 2 |
61 |
Female |
SARS-CoV-2 negative |
Troponin T: undetectable |
CRP: 23.1 mg/dL (reference range: <0.80 mg/dL); ESR: 81 mm/hour (reference range: <15 mm/hour) |
LVEF: 65%; LVIDd: 3.6 cm; Normal RV size and function; Small to moderate circumferential pericardial effusion |
Not performed |
Not performed |