COVID-19 Case Collection

SCMR has created a repository of CMR cases in patients with COVID-19 infection. The goal of this case collection is to provide a rapid reference of the CMR findings associated with the infection and to create an educational resource for all involved in the care of patients with COVID-19 infection. 

Click here to learn how to submit a COVID-19 Case for the collection.

              

NUMBER COVID 20-05: CMR FINDINGS IN A YOUNG PATIENT WITH FREQUENT PVCS IN SETTING OF PRIOR COVID-19 INFECTION

A 29-year-old woman was admitted for palpitations and fatigue. One month prior to admission she had an upper respiratory infection characterized by cough, fever, and muscular pain. At that time she did not seek medical attention and only took pain relievers. One week after the initial onset of symptoms she developed mild diffuse chest pain and palpitations that persisted for two weeks. The 12 lead electrocardiogram showed sinus rhythm without any ST and T wave abnormalities and the presence of frequent monofocal premature ventricular contractions (PVCs). 

 

NUMBER COVID 20-04: SUBACUTE PERIMYOCARDITIS CAUSED BY COVID-19 INFECTION 

A 43-year-old male patient with unremarkable past medical history was admitted to the Infectious Diseases unit for suspected respiratory infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) resulting in coronavirus disease 2019 (COVID-19). On arrival, the patient reported fever that started 14 days before and persisted for 10 days, dry cough and hemoptoic sputum. Nasopharyngeal swabs were immediately obtained, confirming SARS-CoV-2 by a positive reverse transcriptase PCR. Viral serology by immunochromatography performed 15 days after onset of symptoms yielded IgM-negative and IgG-positive for SARS-CoV-2. 

 

NUMBER COVID 20-03: 

clinically suspected myocarditis in a sars-cov-2 positive patient

A 74 year old man with a recent history of normal left ventricular ejection fraction of 55% was admitted to the hospital due to hemodynamically unstable new onset ventricular tachycardia (VT) lasting 12 hours. After unsuccessful self administration of metoprolol, 200 mg orally, arrhythmia was managed with electrical cardioversion. Subsequently, symptomatic bradycardia and hypotension were observed. 

 

NUMBER COVID 20-02: 

PRIOR MYOCARDITIS IN SETTNG OF COVID-19 INFECTION

41-year-old man with nonischemic cardiomyopathy (Exercise Single Photon Emission Computed Tomography thirteen years prior revealed no perfusion abnormalities and LVEF 44%) presented with fever, myalgias, abdominal pain, and shortness of breath. CT Abdomen/Pelvis with Contrast was performed revealing no acute abnormalities in the abdomen but was notable for focal peripheral consolidation in the lungs.

 

NUMBER COVID 20-01: 

CMR FINDINGS IN COVID-19 ASSOCIATED MYOCARDITIS

A 36 year old woman was admitted with pleuritic chest pain in the context of an acute COVID-19 infection. She was diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by a positive reverse transcriptase PCR. Troponin-I was elevated at 13 ng/mL, and the D-dimer and other inflammatory biomarkers were elevated. She had a normal ECG with normal sinus rhythm, normal intervals, and no ST-T wave changes.  Her echocardiogram showed moderately decreased left ventricular systolic function with global hypokinesis and mild right ventricular dilation and mildly decreased systolic function. 

 


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