Recognizing COVID-19-related myocarditis: the possible pathophysiology and proposed guideline for diagnosis and management

Human coronavirus-associated myocarditis is known, and a number of COVID-19-related myocarditis cases have been reported. The pathophysiology of COVID-19-related myocarditis is thought to be a combination of direct viral injury and cardiac damage due to the host ’s immune response. COVID-19 myocarditis diagnosis should be guided by insights from previous coronavirus and other myocarditis experience. The clinical findings include changes in ECG, cardiac biomarkers, and impaired cardiac function. When cardiac MRI is infeasible, cardiac CT angiography with d elayed myocardial imaging may serve to exclude significant coronary artery disease and identify myocardial inflammatory patterns.
Source: Heart Rhythm - Category: Cardiology Authors: Source Type: research