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%) |
|
|
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.
|