Table 2.
Laboratory and multimodality imaging findings in COVID-19 vaccine–related myopericarditis
| Study (Last name of first author followed by year published) |
EKG changes | Elevation of cardiac enzymes | Echocardiography findings | MRI findings | Management | Outcomes |
|---|---|---|---|---|---|---|
| Ambati 2021 [33] | Diffuse STE | Y | Normal | N/A | NSAIDs | Resolved |
| Fleming-Nouri 2021 [34] | STE | Y | mildly decreased left ventricular systolic function | Generalized edema, hyperemia, fibrosis | NSAIDs, IVIG | Resolved |
| Sakaguchi 2021 [35] | Normal | Y | Normal | Diffuse myocardial edema | Aspirin, diuretics | Resolved |
| Chen 2021 [36] | Poor R wave progression | Y | N/A | Myocardial fibrosis and edema | NSAIDs | Resolved |
| Das 2021 [37] | STE | Y | Mild LV systolic dysfunction, EF 48% | Myocardial edema | NSAIDS | Resolved |
| Nygaard 2022 [38] | STE | Y | Normal | Myocarditis | Ketorolac, colchicine, NSAIDs | Resolved |
| Bartlett 2021 [39] | STE Diffuse | Y | Normal, some reduced LVEF | None | Colchicine, NSAIDs | Resolved |
| Badshah 2021 [40] | Normal | Y | LVEF 45% | Edema, pericarditis | Steroid, colchicine, aspirin | Resolved |
| Hung 2022 [41] | STE | Y | Normal | Myopericarditis | IVIG, NSAIDs | Resolved |
| McLean 2021 [42] | STE | Y | Pericardial effusion | Myocardial fibrosis, hyperemia, small pericardial effusion | NSAIDs | Resolved |
| Schauer 2021 [43] | STE | Y | Normal | Edema | Supportive only | Resolved |
| Farooq 2022 [44] | Normal | Y | N/A | Mild fibrosis of the basal septum and inferior and lateral walls. No myocardial inflammation or infarction | IV and oral steroids | Resolved |
| Umei 2021 [45] | T-wave inversion | Y | Regional hypokinesis | Myopericarditis | None | Resolved |
| Kim 2021 [46] | STE | Y | Normal, small pericardial effusion | Myopericarditis | NSAIDs | Resolved |
| Ameratunga 2022 [47] | Normal | Y | N/A | N/A | None | Died |
| Ashaari 2021 [48] | None | Y | N/A | No findings | NSAIDs | Resolved |
| D’Angelo 2021 [49] | STE | Y | Pericardial effusion | Myopericarditis | NSAIDs, IVIG, steroids | Resolved |
| Marshall, 2021 [50] | STE V2-V4 | Y | Mild pericardial effusion, wall motion abnormality | Myocardial necrosis, diffuse fibrosis | NSAIDs | Resolved |
| Facetti, 2021 [51] | STE | Y | N/A | Myopericarditis | NSAIDs | Resolved |
| King 2021 [52] | TWI lateral waves, STE | Y | Normal | N/A | None | Resolved |
| Hasnie 2021 [53] | Diffuse STE | Y | Normal | Myopericarditis | Aspirin, colchicine | Resolved |
| Patrignani 2021 [54] | Normal | Y | Hypokinetic mid to apical anterior segments | Myocarditis | None | Resolved |