Open AccessSubclinical pericarditis long after SARS-CoV-2 infection: a case report
Author(s) -
Anna Giulia Falchi,
Sergio Leonardi,
Giovanni Cappa,
Stefano Perlini
Publication year - 2021
Publication title -
emergency care journal
Language(s) - English
Resource type - Journals
eISSN - 2282-2054
pISSN - 1826-9826
DOI - 10.4081/ecj.2021.9782
Subject(s) - medicine , asymptomatic , palpitations , subclinical infection , sinus tachycardia , pericarditis , covid-19 , cardiology , electrocardiography , chest pain , emergency department , complication , disease , psychiatry , infectious disease (medical specialty)
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.