Sars-Cov-2 myocarditis in a patient with a negative nasopharyngeal swab. First case described in Costa Rica

Authors

  • José Alejandro Sanabria-Garita Cardiólogo Clínico, profesor Postgrado Cardiología Universidad de Costa Rica, Coordinador Unidad Cuidados Cardiacos Agudos, Hospital San Juan de Dios.
  • Carlos Eduardo Bolaños Gómez Residentes Posgrado en Cardiología, Universidad de Costa Rica.
  • Juan Carlos Vega-Chaves Residentes Posgrado en Cardiología, Universidad de Costa Rica.
  • Edgar Fuentes-Molina Cardiólogo Clínico, profesor Postgrado Cardiología Universidad de Costa Rica, Coordinador Laboratorio de Ecocardiografía Hospital San Juan de Dios, Máster en Imagen Cardiaca.
  • Alejandro Vallecillo-Torres Especialista en Radiología, Servicio de Radiología, Hospital San Juan de Dios, Máster en Resonancia Magnética Cardiaca.

DOI:

https://doi.org/10.37615/retic.v4n3a11

Keywords:

Myocardial injury, myocarditis, COVID 19.

Abstract

Myocarditis associated with SARS-CoV-2 disease is known and several cases have been reported worldwide. The pathophysiology of COVID-19-related myocarditis is believed to be a combination of direct viral damage to the myocardium and cardiac damage due to the host’s immune response. Clinical findings include changes in the electrocardiogram, alteration of cardiac biomarkers, and cardiac function impairment. Within the diagnostic work, coronary artery disease must be ruled out, and cardiac imaging techniques such as cardiac magnetic resonance should be used, allowing the Lake Louis criteria, characteristic of myocarditis, to be identified.

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References

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Inciardi RM, Lupi L, Zaccone G, et al. Cardiac involvement in a patient with coronavirus disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7):819-824.

Published

2021-12-31

How to Cite

1.
Sanabria-Garita JA, Bolaños Gómez CE, Vega-Chaves JC, Fuentes-Molina E, Vallecillo-Torres A. Sars-Cov-2 myocarditis in a patient with a negative nasopharyngeal swab. First case described in Costa Rica. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2021 Dec. 31 [cited 2024 Jul. 3];4(3):39-43. Available from: https://imagenretic.org/RevEcocarPract/article/view/364