loading page

Cardiac Involvement in a Pediatric Patient with COVID-19: Looking Beyond the Nonspecific Global Cardiac Injury
  • +4
  • Suneet Bhansali,
  • Prashant Minocha,
  • Colin Phoon,
  • Gillian Henry,
  • Sujata Chakravarti,
  • Michelle Ramirez,
  • Puneet Bhatla
Suneet Bhansali
NYU Langone Medical Center
Author Profile
Prashant Minocha
NYU Langone Medical Center
Author Profile
Colin Phoon
NYU Langone Medical Center
Author Profile
Gillian Henry
NYU Langone Medical Center
Author Profile
Sujata Chakravarti
NYU Langone Medical Center
Author Profile
Michelle Ramirez
NYU Langone Medical Center
Author Profile
Puneet Bhatla
NYU Langone Medical Center
Author Profile

Peer review status:ACCEPTED

21 May 2020Submitted to Echocardiography
21 May 2020Assigned to Editor
21 May 2020Submission Checks Completed
21 May 2020Reviewer(s) Assigned
12 Jul 2020Review(s) Completed, Editorial Evaluation Pending
17 Jul 2020Editorial Decision: Accept

Abstract

We report a case of a 17-year-old healthy male presenting with multisystem hyperinflammatory shock temporally associated with COVID-19. Cardiac involvement was suspected based on evidence of significant cardiac injury (elevated cardiac biomarkers, electrocardiographic and echocardiographic abnormalities). Cardiac magnetic resonance imaging was performed demonstrating global biventricular systolic dysfunction, as well as a small area of T2 hyperintensity and mid wall late gadolinium enhancement. This case discusses the varied cardiac involvement in pediatric patients with COVID-19 infection and highlights that cardiac injury is not just limited to hyperinflammatory syndrome related global dysfunction but a more focal myocarditis can also be seen.