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)
≤2030 (27.8%)
≥6010 (9.3%)
Sex
Male67 (62.0%)
Female41 (38.0%)
Comorbidities
Not described21
None48
Hypertension12
Obesity11
Diabetes mellitus8
Asthma (including allergic cough)4
Heart diseases4
Gynecologic diseases3
Hyperlipidemia3
Connective tissue disorders3
Blood disorders2
Mental disorders2

Dose of vaccinationN=19
015
12
21
31
≥40

Clinical data

Initial symptomsN=98 (excluding 10 patients with relevant information unavailable)
Fever51 (52.0%)
Dyspnea or shortness of breath45 (45.9%)
Diarrhea20 (20.4%)
Chest pain20 (20.4%)
Cough19 (19.4%)
Vomiting17 (17.3%)
Abdominal pain13 (13.3%)
Asthenia9 (9.2%)
Fatigue9 (9.2%)
Weakness5 (5.1%)
Lethargy5 (5.1%)
Loss of appetite3 (3.1%)

Concurrent with pneumoniaN=43
202020
202120
20223

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 normal3 (3.3%)
Unclassified16

Pericardial effusionN=108
Yes45 (65.2%)
No24 (34.8%)
Not described39
Left ventricular wall thickeningN=108
Yes24 (40.7%)
No35 (59.3%)
Not described49

ArrhythmiaN=40
VT11
Asystole/cardiac arrest6
PEA6
VF5
RBBB5
AF4
CAVB4
Long QT2
Ectopic wandering atrial pacemaker1

Diagnostic modalityN=49
Only CMR14
Only biopsy23
Both CMR and biopsy12

Mechanical circulatory supportN=67
ECMO56 (83.6%)
Impella19 (28.4%)
IABP12 (12.9%)
RVAD2 (3.0%)
Combination20 (29.9%)

OutcomeN=107 (excluding 1 patient with relevant information unavailable)
Alive83 (77.6%)
Dead24 (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.