1. Myocarditis Following COVID-19 Vaccination: Cardiac Imaging Findings in 118 Studies.
- Author
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Keshavarz, Pedram, Yazdanpanah, Fereshteh, Emad, Maryam, Hajati, Azadeh, Nejati, Seyed, Ebrahimian Sadabad, Faranak, Azrumelashvili, Tamta, Mizandari, Malkhaz, and Raman, Steven
- Subjects
Janssen/Johnson & ,Johnson ,Moderna ,Pfizer-BioNTech ,coronavirus ,myocarditis ,Adolescent ,Adult ,Aged ,Aged ,80 and over ,COVID-19 ,COVID-19 Vaccines ,Child ,Contrast Media ,Female ,Gadolinium ,Humans ,Magnetic Resonance Imaging ,Male ,Middle Aged ,Myocarditis ,Vaccination ,Vaccines ,Synthetic ,Young Adult ,mRNA Vaccines - Abstract
We reviewed the reported imaging findings of myocarditis in the literature following COVID-19 vaccination on cardiac imaging by a literature search in online databases, including Scopus, Medline (PubMed), Web of Science, Embase (Elsevier), and Google Scholar. In total, 532 cases of myocarditis after COVID-19 vaccination were reported (462, 86.8% men and 70, 13.2% women, age range 12 to 80) with the following distribution: Pfizer-BioNTech: 367 (69%), Moderna: 137 (25.8%), AstraZeneca: 12 (2.3%), Janssen/Johnson & Johnson: 6 (1.1%), COVAXIN: 1 (0.1%), and unknown mRNA vaccine: 9 (1.7%). The distribution of patients receiving vaccine dosage was investigated. On cardiac MR Imaging, late intravenous gadolinium enhancement (LGE) was observed mainly in the epicardial/subepicardial segments (90.8%, 318 of 350 enhancing segments), with the dominance of inferolateral segment and inferior walls. Pericardial effusion was reported in 13.1% of cases. The vast majority of patients (94%, 500 of 532) were discharged from the hospital except for 4 (0.7%) cases. Post-COVID-19 myocarditis was most commonly reported in symptomatic men after the second or third dose, with CMRI findings including LGE in 90.8% of inferior and inferolateral epicardial/subepicardial segments. Most cases were self-limited.
- Published
- 2022