Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis
Abstract COVID‐19 is proving to be a devastating pandemic with both tragic economic and health consequences worldwide. Point‐of‐care ultrasound (POCUS) of the lungs has been thrust into the forefront of resources that could be used in the management of COVID‐19 acute care patients. However, relative...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12098 |
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| author | Michael Blaivas |
| author_facet | Michael Blaivas |
| author_sort | Michael Blaivas |
| collection | DOAJ |
| description | Abstract COVID‐19 is proving to be a devastating pandemic with both tragic economic and health consequences worldwide. Point‐of‐care ultrasound (POCUS) of the lungs has been thrust into the forefront of resources that could be used in the management of COVID‐19 acute care patients. However, relatively little attention has been paid to POCUS utility in assessing the heart in COVID‐19 patients. Anecdotal reports suggest encounters of likely COVID‐19 induced pericardial effusions and myocardial electrical dysfunction. This article presents 2 cases of generally healthy patients who were noted to have classic COVID‐19 bilateral pneumonia findings on lung ultrasound and incidentally discovered to have unsuspected left ventricular dysfunction likely resulting from myocarditis. POCUS videos are presented as illustrations of this potentially overlooked complication. |
| format | Article |
| id | doaj-art-bfefe4458d1e4e4da97c17f344c86b85 |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-bfefe4458d1e4e4da97c17f344c86b852025-08-20T03:04:06ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-08-011437537810.1002/emp2.12098Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditisMichael Blaivas0Department of Medicine University of South Carolina School of Medicine Columbia South Carolina USAAbstract COVID‐19 is proving to be a devastating pandemic with both tragic economic and health consequences worldwide. Point‐of‐care ultrasound (POCUS) of the lungs has been thrust into the forefront of resources that could be used in the management of COVID‐19 acute care patients. However, relatively little attention has been paid to POCUS utility in assessing the heart in COVID‐19 patients. Anecdotal reports suggest encounters of likely COVID‐19 induced pericardial effusions and myocardial electrical dysfunction. This article presents 2 cases of generally healthy patients who were noted to have classic COVID‐19 bilateral pneumonia findings on lung ultrasound and incidentally discovered to have unsuspected left ventricular dysfunction likely resulting from myocarditis. POCUS videos are presented as illustrations of this potentially overlooked complication.https://doi.org/10.1002/emp2.12098COVID‐19point‐of‐care ultrasoundemergency medicinemyocarditisCOVID‐19 pneumonia |
| spellingShingle | Michael Blaivas Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis Journal of the American College of Emergency Physicians Open COVID‐19 point‐of‐care ultrasound emergency medicine myocarditis COVID‐19 pneumonia |
| title | Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis |
| title_full | Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis |
| title_fullStr | Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis |
| title_full_unstemmed | Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis |
| title_short | Unexpected finding of myocardial depression in 2 healthy young patients with COVID‐19 pneumonia: possible support for COVID‐19‐related myocarditis |
| title_sort | unexpected finding of myocardial depression in 2 healthy young patients with covid 19 pneumonia possible support for covid 19 related myocarditis |
| topic | COVID‐19 point‐of‐care ultrasound emergency medicine myocarditis COVID‐19 pneumonia |
| url | https://doi.org/10.1002/emp2.12098 |
| work_keys_str_mv | AT michaelblaivas unexpectedfindingofmyocardialdepressionin2healthyyoungpatientswithcovid19pneumoniapossiblesupportforcovid19relatedmyocarditis |