The typical pattern of myocardial injury and subsequent fibrosis in patients with viral myocarditis is subepicardial. However, other patterns of injury and scar, as detected by contrast enhanced magnetic resonance imaging (cMRI), commonly occur, including sub-endocardial injury mimicking the ischemic heart disease pattern, and mid-wall circumferential scar seen more often in patients with advanced disease and dilated cardiomyopathies. In patients with myocarditis, who present malignant arrhythmias in the scenario of a preserved left ventricle (LV) function, it is not uncommon […]

Introduction There has been an increased incidence of coronavirus-associated thromboembolic events during the coronavirus disease 2019 (COVID-19) pandemic. However, most cases presented with venous thrombotic events, mainly deep vein thrombosis and pulmonary thromboembolism, whereas arterial and coronary phenomena are rare. Several pathophysiological factors can explain the relationship between COVID-19 infection and increased embolic phenomena. The main factors are increased inflammatory mediators, the release of prothrombotic factors, and endothelial dysfunction., […]

Introduction Myocarditis can have a varied clinical presentation ranging from chest pain and mild dyspnea to cardiogenic shock and sudden death. It is defined as myocardial inflammation with myocyte necrosis or degeneration without ischemia and may result from infectious and non-infectious causes, with viral myocarditis being the most prevalent etiology. Myocarditis most commonly affects young male adults, being detected in up to 12% of patients aged under 40 years who had sudden death. Its diagnosis is fundamentally based on clinical […]

Case Report A 38-year-old man was taken to the emergency room complaining of chest pain, dyspnea, myalgia, and a significant decline in his general condition. He had a history of hyperthyroidism controlled with thiamazole 5 mg/day and depressive disorder treated with escitalopram 10 mg/day and bupropion 150 mg/day. He had no previous history of infarction, established cardiovascular diseases, or familial sudden death. The patient reported symptoms of prostration and a dry cough for a few days for which he was […]

Introduction The first cases of coronavirus 2019 disease (COVID-19) were described in Wuhan, China, in the end of December 2019. The identified pathogen was called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), an RNA virus of the family Coronaviridae. Due to its rapid spread, the World Health Organization declared COVID-19 a pandemic on March 11, 2020. The main clinical presentation includes respiratory symptoms, such as fever, cough, myalgia, and dyspnea, that can progress to pneumonia or severe acute respiratory syndrome. […]

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ABSTRACT We report the case of a young patient admitted to the emergency room with precordial pain. Admission electrocardiogram identified ST-segment elevation located on the side wall associated with “mirror” image, with highly elevated cardiac enzymes, suggesting a diagnosis of coronary syndrome with ST-segment elevation. Echocardiogram revealed pericardial effusion with preserved ejection fraction and absence of segmental abnormalities, thus suggesting acute pericarditis with myocardial involvement. Cardiac magnetic resonance was performed, showing non-ischemic late enhancement, confirming the diagnosis of perimiocarditis. This […]

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