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. 2021 Oct 12;8:759119. doi: 10.3389/fcvm.2021.759119
2012 Diagnose of ALVC.
September 2020 Last episode of myocarditis (without neurological symptoms).
January 2021 Administration of boost dose of mRNA Covid-19 vaccine.
February 2021 (14 days after boost dose) Admitted for chest pain, elevated hs-cTnI and neurological symptoms.
First 3 days of admission Recurrent chest pain despite treatment with acetaminophen, metamizol and colchicine. Stable moderate left ventricular systolic dysfunction without signs of heart failure Moderate intensity myopathic pattern in ENG / EMG
Day 4 of admission Patient refuses to initiate steroids due to past secondary effects Aspirin is started and progressively uptitrated
5–9 days after admission Gradual improvement of symptoms. Decline of hs-cTnI levels. Complete resolutions of abnormalities in the follow-up ENG/EMG.
Day 10 after admission Patient is discharged