Behnam Hedayat1, Kaveh Hosseini1. 1. Department of Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Abstract
BACKGROUND: Of all patients infected with COVID-19, 95% have mild symptoms, but 5% may experience severe illness. There are reports of myocardial injury associated with the COVID19 infection in middle-aged and old people with baseline cardiac conditions. Acute myocardial injury has been suggested as a marker for disease severity. Sometimes it is hard to differentiate between acute coronary syndrome and acute myocarditis; hence detailed history taking, lab tests and imaging will be necessary. CASE PRESENTATION: Herein, we described two young patients presenting with chest pain and no significant respiratory symptoms, one without cardiovascular risk factors and another one with diabetes mellitus and cigarette smoking. COVID-19 was documented with real-time reverse-transcriptase-polymerase chain reaction (rRT-PCR). CONCLUSION: Early Chest CT scan besides coronary CT angiogram (if available) in suspicious cases can help physician to make fast decisions. These two cases both had complication-free hospital stay. Despite markedly high on-admission troponin levels, which is known as a marker of poor prognosis they discharged in good condition. One month follow-up was also uneventful.
BACKGROUND: Of all patients infected with COVID-19, 95% have mild symptoms, but 5% may experience severe illness. There are reports of myocardial injury associated with the COVID19 infection in middle-aged and old people with baseline cardiac conditions. Acute myocardial injury has been suggested as a marker for disease severity. Sometimes it is hard to differentiate between acute coronary syndrome and acute myocarditis; hence detailed history taking, lab tests and imaging will be necessary. CASE PRESENTATION: Herein, we described two young patients presenting with chest pain and no significant respiratory symptoms, one without cardiovascular risk factors and another one with diabetes mellitus and cigarette smoking. COVID-19 was documented with real-time reverse-transcriptase-polymerase chain reaction (rRT-PCR). CONCLUSION: Early Chest CT scan besides coronary CT angiogram (if available) in suspicious cases can help physician to make fast decisions. These two cases both had complication-free hospital stay. Despite markedly high on-admission troponin levels, which is known as a marker of poor prognosis they discharged in good condition. One month follow-up was also uneventful.
Authors: Y Guo; Y M Huang; J Huang; Y Z Jin; W Jiang; P L Liu; F J Liu; J X Ma; J Y Ma; Y Wang; Z Xie; H Yin; C S Zhao; S D Zhou; J Zhang; Z J Zheng Journal: Zhonghua Liu Xing Bing Xue Za Zhi Date: 2020-05-10
Authors: Joel R Koo; Alex R Cook; Minah Park; Yinxiaohe Sun; Haoyang Sun; Jue Tao Lim; Clarence Tam; Borame L Dickens Journal: Lancet Infect Dis Date: 2020-03-23 Impact factor: 25.071