Table 3. Presentation, Clinical Course, and Follow-up of 54 Patients with Myocarditis after Vaccination.*.
Variable | Value |
---|---|
Presenting symptoms and signs — no./total no. (%) | |
Chest pain | 44/54 (81) |
Palpitations | 1/54 (2) |
Dyspnea | 3/54 (6) |
Fever | 5/54 (9) |
Pericardial effusion | 10/49 (20) |
Vital signs on admission | |
Temperature — °C | 37.4±1.0 |
Blood pressure — mm Hg | |
Systolic | 122.7±16.8 |
Diastolic | 72.2±11.0 |
Heart rate — beats per min | 81.3±17.3 |
Shock — no./total no. (%) | 1/47 (2) |
Electrocardiographic findings — no./total no. (%) | |
Normal | 8/38 (21) |
ST-segment elevation | |
Diffuse | 18/38 (47) |
Nondiffuse | 2/38 (5) |
T-wave change | 7/38 (18) |
Atrial fibrillation | 1/38 (3) |
Nonsustained ventricular tachycardia | 2/38 (5) |
Laboratory values† | |
Elevated troponin T — no./total no. (%) | 41/41 (100) |
Median creatine kinase (IQR) — U/liter | 487 (230–1193) |
Clinical course during index hospitalization — no./total no. (%) | |
Need for inotropes or vasopressors | 1/49 (2) |
Need for mechanical circulatory support | 1/49 (2) |
Arrhythmias | 1/49 (2) |
Plus–minus values are means ±SD. Data for temperature, blood pressure, and heart rate were available in 37 patients and for the creatine kinase level in 28 patients.
Reference ranges for the laboratory tests are as follows: troponin T, 0 to 14 ng per liter; and creatine kinase, 20 to 180 U per liter. Additional data regarding presentation, clinical course, and follow-up are provided in Table S3.