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Fulminant and Non-fulminant Clinical COVID-19 Myocarditis in the New York City Area in 2020 Cover

Fulminant and Non-fulminant Clinical COVID-19 Myocarditis in the New York City Area in 2020

Open Access
|Mar 2022

Figures & Tables

Table 1

Demographic and Past Medicals History of 19 Patients with Clinical COVID-19 Myocarditis.

NON-FULMINANTFULMINANTOVERALL
N10919
Age (mean (SD))61.90 (15.84)54.56 (20.49)58.42 (18.06)
Male (n (%))5 (50.0)8 (88.9)13 (68.4)
Body Mass Index (kg/m2) (mean (SD)) [1]31.50 (6.48)28.76 (5.66)30.13 (6.07)
Presented with Shortness of Breath (n (%))10 (100.0)8 (88.9)18 (94.7)
Presented with Chest Pain (n (%))4 (40.0)1 (11.1)5 (26.3)
History of Hypertension (n (%))7 (70.0)3 (33.3)10 (52.6)
History of Type 2 Diabetes (n (%))5 (50.0)2 (22.2)7 (36.8)
History of Atrial Fibrillation (n (%))0 (0)0 (0)0 (0)
History of Coronary Artery Disease (n (%))0 (0)0 (0)0 (0)
History of Heart Failure0 (0)0 (0)0 (0)
History of Chronic Kidney Disease (n (%))3 (30.0)1 (11.1)4 (21.1)
Supplemental oxygen (n (%))
Room air3 (30.0)1 (11.1)4 (21.1)
Nasal Canula3 (30.0)2 (22.2)5 (26.3)
Nonrebreather2 (20.0)0 (0.0)2 (10.5)
Intubation2 (20.0)6 (66.7)8 (42.1)
Length of stay in days (mean (SD))10.66 (8.74)20.17 (13.60)15.17 (12.01)
Death (n (%))2 (20.0)2 (22.2)4 (21.1)
Table 2

Laboratory findings at time of clinical COVID-19 myocarditis.

MEAN (SD, NUMBER MISSING)GEOMETRIC MEAN (NUMBER MISSING)
NON-FULMINANTFULMINANTOVERALLP-VALUENON-FULMINANTFULMINANTOVERALLP-VALUE
n9101991019
Fold increase in troponin above normal limit71 (91.61, 1)131 (144.14, 0)101 (121.23, 1)0.303NANANA
C-reactive Protein (mg/L)88 (96.41, 1)71 (100.20, 2)79 (95.43, 3)0.72539 (1)45 (2)42 (3)0.83
Lactate (mmol/L)2.76 (0.85, 2)2.82 (2.64, 0)2.79 (1.95, 2)0.9522.64 (2)2.14 (0)2.36 (2)0.45
D-dimer (ng/mL)2609 (4533.78, 3)4796 (2367.48, 1)3775 (3589.89, 4)0.2531199 (3)4101 (1)2311 (4)0.028
Ferritin (ng/mL)1702 (910.39, 3)14176 (17836.06, 1)8355 (14174.19, 4)0.0891468 (3)5660 (1)3015 (4)0.046
Procalcitonin (ng/mL)1.76 (1.40, 4)37.74 (72.92, 0)23.35 (58.07, 4)0.2541.08 (4)6.74 (0)3.24 (4)0.067
Table 3

Echocardiographic findings of Clinical COVID-19 Myocarditis.

NON-FULMINANTFULMINANTOVERALL
N10919
Ejection Fraction (n (%))
>505 (50.0)0 (0.0)5 (26.3)
40–501 (10.0)5 (55.6)6 (31.6)
15–402 (20.0)0 (0.0)2 (10.5)
Missing data2 (20.0)4 (44.4)6 (31.6)
Left Ventricular Systolic Dysfunction (n (%))
Left ventricular systolic dysfunction present2 (20.0)8 (88.9)10 (52.6)
No left ventricular systolic dysfunction6 (60.0)0 (0.0)6 (31.6)
Missing data2 (20.0)1 (11.1)3 (15.8)
Left Ventricular Diastolic Dysfunction (n (%))
Left ventricular diastolic dysfunction1 (10.0)0 (0.0)1 (5.3)
No left ventricular diastolic dysfunction7 (70.0)7 (77.8)14 (73.7)
Missing data2 (20.0)2 (22.2)4 (21.1)
Pericardial Effusion (n (%))
Pericardial effusion2 (20.0)3 (33.3)5 (26.3)
No pericardial effusion6 (60.0)5 (55.6)11 (57.9)
Missing data2 (20.0)1 (11.1)3 (15.8)
DOI: https://doi.org/10.5334/aogh.3583 | Journal eISSN: 2214-9996
Language: English
Published on: Mar 8, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Christopher Wong, Amtul Mansoor, Thomas McGinn, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.