Review Article
Fulminant Myocarditis with SARS-CoV-2 Infection: A Narrative Review from the Case Studies
Table 2
Demographics and clinical data of studied patients. All descriptive parameters are obtained from the original papers.
| | Demographic variables |
| | | N = 108 | | Age (years) | 34.8 ± 18.1 (range 0–72) | | ≤20 | 30 (27.8%) | | ≥60 | 10 (9.3%) | | Sex | | | Male | 67 (62.0%) | | Female | 41 (38.0%) | | Comorbidities | | | Not described | 21 | | None | 48 | | Hypertension | 12 | | Obesity | 11 | | Diabetes mellitus | 8 | | Asthma (including allergic cough) | 4 | | Heart diseases | 4 | | Gynecologic diseases | 3 | | Hyperlipidemia | 3 | | Connective tissue disorders | 3 | | Blood disorders | 2 | | Mental disorders | 2 |
| | Dose of vaccination | N = 19 | | 0 | 15 | | 1 | 2 | | 2 | 1 | | 3 | 1 | | ≥4 | 0 |
| | Clinical data |
| | Initial symptoms | N = 98 (excluding 10 patients with relevant information unavailable) | | Fever | 51 (52.0%) | | Dyspnea or shortness of breath | 45 (45.9%) | | Diarrhea | 20 (20.4%) | | Chest pain | 20 (20.4%) | | Cough | 19 (19.4%) | | Vomiting | 17 (17.3%) | | Abdominal pain | 13 (13.3%) | | Asthenia | 9 (9.2%) | | Fatigue | 9 (9.2%) | | Weakness | 5 (5.1%) | | Lethargy | 5 (5.1%) | | Loss of appetite | 3 (3.1%) |
| | Concurrent with pneumonia | N = 43 | | 2020 | 20 | | 2021 | 20 | | 2022 | 3 |
| | Left ventricular ejection fraction (LVEF) | N = 108 | | LVEF ≤ 20% | 48 (52.2%) | | 20 < LVEF ≤ 30% | 31 (33.7%) | | 30 < LVEF ≤ 40% | 7 (7.6%) | | 40 < LVEF ≤ 50% | 3 (3.3%) | | 50% < LVEF including preserved or normal | 3 (3.3%) | | Unclassified | 16 |
| | Pericardial effusion | N = 108 | | Yes | 45 (65.2%) | | No | 24 (34.8%) | | Not described | 39 | | Left ventricular wall thickening | N = 108 | | Yes | 24 (40.7%) | | No | 35 (59.3%) | | Not described | 49 |
| | Arrhythmia | N = 40 | | VT | 11 | | Asystole/cardiac arrest | 6 | | PEA | 6 | | VF | 5 | | RBBB | 5 | | AF | 4 | | CAVB | 4 | | Long QT | 2 | | Ectopic wandering atrial pacemaker | 1 |
| | Diagnostic modality | N = 49 | | Only CMR | 14 | | Only biopsy | 23 | | Both CMR and biopsy | 12 |
| | Mechanical circulatory support | N = 67 | | ECMO | 56 (83.6%) | | Impella | 19 (28.4%) | | IABP | 12 (12.9%) | | RVAD | 2 (3.0%) | | Combination | 20 (29.9%) |
| | Outcome | N = 107 (excluding 1 patient with relevant information unavailable) | | Alive | 83 (77.6%) | | Dead | 24 (22.4%) |
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AF, atrial fibrillation; CAVB, complete atrioventricular block; CMR, cardiovascular magnetic resonance; ECMO, extracorporeal membrane oxygenation; IABP, intra-aortic balloon pumping; LVEF, left ventricular ejection fraction; PEA, pulseless electrical activity; RVAD, right ventricular assist device; RBBB, right bundle branch block; VF, ventricular fibrillation; and VT, ventricular tachycardia.
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