Myocarditis in the Setting of Recent COVID-19 Vaccination
Table 1
Patient characteristics and results.
Patient
Age
Sex
Medical history
Symptom onset
Vaccine
Troponin T ng/ml
Imaging
Ischemic work-up
A
25
Male
Crohn’s disease (no medications)
Chest pain 4-day post-2nd vaccine
BNT162b2 Pfizer/BioNTech
ng/ml
EKG: no ischemic changes Echo: left ventricular ejection % Cardiac MRI (cMRI): %, consistent with myocardial edema (T2 mapping) and myocardial injury (focal late gadolinium enhancement (LGE)) with multiple foci in the midwall
Not applicable
B
28
Male
Obesity
Chest pain 3-day post-2nd vaccine
BNT162b2 Pfizer/BioNTech
ng/ml
EKG: lateral ST elevation myocardial infarction cMRI: %, consistent with myocardial edema (T2 mapping) and myocardial injury (focal LGE) in the basal inferior, mid- to distal lateral/inferolateral walls
Coronary angiogram: no luminal irregularities
C
36
Male
Gastroesophageal reflux disease
Chest pain 2-day post-2nd vaccine
mRNA-1273 Moderna/NIH
ng/ml
EKG: lateral ST elevations Echo: -60% cMRI: %, consistent with myocardial edema (T2 mapping) and myocardial injury (focal LGE) in the mid- to distal inferolateral and lateral walls