Case Report: Acute Fulminant Myocarditis and Cardiogenic Shock After Messenger RNA Coronavirus Disease 2019 Vaccination Requiring Extracorporeal Cardiopulmonary Resuscitation

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Abstract

Recently, myocarditis following messenger RNA (mRNA) coronavirus disease 2019 (COVID-19) vaccination has become an important social issue worldwide. According to the reports so far, myocarditis related to mRNA COVID-19 vaccination is rare and usually associated with a benign clinical course without intensive care or any sequelae of fulminant myocarditis. Here, we report a case of acute fulminant myocarditis and cardiogenic shock after the mRNA COVID-19 vaccination, requiring extracorporeal cardiopulmonary resuscitation. Clinicians should keep in mind the possibility of progression to fulminant myocarditis in patients who presented with suggestive symptoms or signs of myocarditis after the COVID-19 vaccination.

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Most cited references 21

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Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases.

Alida L P Caforio, Sabine Pankuweit, Eloisa Arbustini … (2013)

In this position statement of the ESC Working Group on Myocardial and Pericardial Diseases an expert consensus group reviews the current knowledge on clinical presentation, diagnosis and treatment of myocarditis, and proposes new diagnostic criteria for clinically suspected myocarditis and its distinct biopsy-proven pathogenetic forms. The aims are to bridge the gap between clinical and tissue-based diagnosis, to improve management and provide a common reference point for future registries and multicentre randomised controlled trials of aetiology-driven treatment in inflammatory heart muscle disease.

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Myocarditis With COVID-19 mRNA Vaccines

Biykem Bozkurt, Ishan Kamat, Peter Hotez (2021)

Supplemental Digital Content is available in the text.

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Myocarditis Following Immunization With mRNA COVID-19 Vaccines in Members of the US Military

Jay Montgomery, Margaret Ryan, Renata Engler … (2021)

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Contributors

Yongwhan Lim: URI : http://loop.frontiersin.org/people/1496773/overview

Min Chul Kim: URI : http://loop.frontiersin.org/people/1517700/overview

Kye Hun Kim: URI : http://loop.frontiersin.org/people/1144050/overview

Jong Eun Lee: URI : http://loop.frontiersin.org/people/1195442/overview

Journal

Journal ID (nlm-ta): Front Cardiovasc Med

Journal ID (iso-abbrev): Front Cardiovasc Med

Journal ID (publisher-id): Front. Cardiovasc. Med.

Title: Frontiers in Cardiovascular Medicine

Publisher: Frontiers Media S.A.

ISSN (Electronic): 2297-055X

Publication date (Electronic): 29 October 2021

Publication date Collection: 2021

Publication date PMC-release: 29 October 2021

Volume: 8

Affiliations

[1] ¹Department of Cardiovascular Medicine, Chonnam National University Medical School/Hospital , Gwangju, South Korea

[2] ²Department of Cardiothoracic Surgery, Chonnam National University Medical School/Hospital , Gwangju, South Korea

[3] ³Department of Emergent Medicine, Chonnam National University Hospital , Gwangju, South Korea

[4] ⁴Department of Pathology, Chonnam National University Medical School , Gwangju, South Korea

[5] ⁵Department of Radiology, Chonnam National University Hospital , Gwangju, South Korea

Author notes

Edited by: Hendrik Tevaearai Stahel, Bern University Hospital, Switzerland

Reviewed by: Suguru Ohira, Westchester Medical Center, United States; Alberto Palazzuoli, University of Siena, Italy

*Correspondence: Kye Hun Kim cvkimkh@ 123456gmail.com ; christiankyehun@ 123456hanmail.net

This article was submitted to Heart Failure and Transplantation, a section of the journal Frontiers in Cardiovascular Medicine

†These authors have contributed equally to this work and share first authorship

Article

DOI: 10.3389/fcvm.2021.758996

PMC ID: 8586196

SO-VID: 5d554927-b3e6-47e3-96fd-dc8224615fce

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This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Case Report: Acute Fulminant Myocarditis and Cardiogenic Shock After Messenger RNA Coronavirus Disease 2019 Vaccination Requiring Extracorporeal Cardiopulmonary Resuscitation

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Abstract

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Novel Coronavirus Disease COVID-19

Most cited references 21

Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases.

Myocarditis With COVID-19 mRNA Vaccines

Myocarditis Following Immunization With mRNA COVID-19 Vaccines in Members of the US Military

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