Subclinical pericarditis long after SARS-CoV-2 infection: a case report
We describe a rare complication of COVID-19 long after infection in a 76-years-old man presented to the Emergency Department with dyspnea and palpitations. A 12-lead Electrocardiogram (ECG) showed sinus tachycardia PR depression in the inferior leads associated with an apparent pseudo ST elevation....
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doaj-6507f3d4a63b49f5aea645be97db6de32021-06-28T21:15:49ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542021-06-0117210.4081/ecj.2021.9782Subclinical pericarditis long after SARS-CoV-2 infection: a case reportAnna Giulia Falchi0Sergio Leonardi1Giovanni Cappa2Stefano Perlini3Emergency Department, IRCCS Policlinico San Matteo Foundation, PaviaCoronary Care Unit and Laboratory of Clinical and Experimental Cardiology, IRCCS Policlinico San Matteo Foundation, PaviaEmergency Medicine Postgraduate Training Program, University of PaviaEmergency Department, IRCCS Policlinico San Matteo Foundation, Pavia We describe a rare complication of COVID-19 long after infection in a 76-years-old man presented to the Emergency Department with dyspnea and palpitations. A 12-lead Electrocardiogram (ECG) showed sinus tachycardia PR depression in the inferior leads associated with an apparent pseudo ST elevation. In the absence of elevation of inflammatory indices, considering the lack of symptoms neither NSAIDs nor colchicine were prescribed, and the patient was referred for clinical follow-up. After ten days ECG documented initial reduction of the widespread concave STE and PR depression, and the 1-month follow- up visit, the patient was asymptomatic with unremarkable physical examination, and a 12-lead ECG showed almost complete normalization of the ST and PR segments. Although pericardial involvement after COVID-19 infection has been already described, the incidence of subclinical pericarditis has not and may have implications for the monitoring of patients with uncomplicated COVID-19 infection managed as outpatients. https://www.pagepressjournals.org/index.php/ecj/article/view/9782Long covidpericarditissubclinical pericarditis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anna Giulia Falchi Sergio Leonardi Giovanni Cappa Stefano Perlini |
spellingShingle |
Anna Giulia Falchi Sergio Leonardi Giovanni Cappa Stefano Perlini Subclinical pericarditis long after SARS-CoV-2 infection: a case report Emergency Care Journal Long covid pericarditis subclinical pericarditis |
author_facet |
Anna Giulia Falchi Sergio Leonardi Giovanni Cappa Stefano Perlini |
author_sort |
Anna Giulia Falchi |
title |
Subclinical pericarditis long after SARS-CoV-2 infection: a case report |
title_short |
Subclinical pericarditis long after SARS-CoV-2 infection: a case report |
title_full |
Subclinical pericarditis long after SARS-CoV-2 infection: a case report |
title_fullStr |
Subclinical pericarditis long after SARS-CoV-2 infection: a case report |
title_full_unstemmed |
Subclinical pericarditis long after SARS-CoV-2 infection: a case report |
title_sort |
subclinical pericarditis long after sars-cov-2 infection: a case report |
publisher |
PAGEPress Publications |
series |
Emergency Care Journal |
issn |
1826-9826 2282-2054 |
publishDate |
2021-06-01 |
description |
We describe a rare complication of COVID-19 long after infection in a 76-years-old man presented to the Emergency Department with dyspnea and palpitations. A 12-lead Electrocardiogram (ECG) showed sinus tachycardia PR depression in the inferior leads associated with an apparent pseudo ST elevation. In the absence of elevation of inflammatory indices, considering the lack of symptoms neither NSAIDs nor colchicine were prescribed, and the patient was referred for clinical follow-up. After ten days ECG documented initial reduction of the widespread concave STE and PR depression, and the 1-month follow- up visit, the patient was asymptomatic with unremarkable physical examination, and a 12-lead ECG showed almost complete normalization of the ST and PR segments. Although pericardial involvement after COVID-19 infection has been already described, the incidence of subclinical pericarditis has not and may have implications for the monitoring of patients with uncomplicated COVID-19 infection managed as outpatients.
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topic |
Long covid pericarditis subclinical pericarditis |
url |
https://www.pagepressjournals.org/index.php/ecj/article/view/9782 |
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1721355876838670336 |