Cardiac involvement in a pediatric patient with COVID‐19: Looking beyond the nonspecific global cardiac injury

• DOI: 10.1111/echo.14814
• Publication Date: 2020-08-08T14:14:38Z
• Authors: Suneet Bhansali; Prashant Minocha; Colin Phoon; Gillian Henry; Sujata Chakravarti; Michelle Ramirez; Puneet Bhatla
• Keywords: Male; Adolescent; Heart Diseases; COVID-19; Contrast Media; Gadolinium; Heart; Shock; Image Enhancement; Magnetic Resonance Imaging; 3. Good health; Electrocardiography; 03 medical and health sciences; 0302 clinical medicine; Radiology Nuclear Medicine and imaging; Echocardiography; Humans; Cardiology and Cardiovascular Medicine

AbstractWe 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.