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Quality in Sport

Myocarditis in COVID-19 – Epidemiology, Pathophysiology, Diagnosis, Treatment and Clinical Outcomes
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  • Myocarditis in COVID-19 – Epidemiology, Pathophysiology, Diagnosis, Treatment and Clinical Outcomes
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Myocarditis in COVID-19 – Epidemiology, Pathophysiology, Diagnosis, Treatment and Clinical Outcomes

Authors

  • Radoslaw Walkowski Warszawski Uniwersytet Medyczny https://orcid.org/0009-0006-9933-6437
  • Weronika Wasiniewska Warszawski Uniwersytet Medyczny https://orcid.org/0009-0001-9263-5710
  • Szymon Kosek Warszawski Uniwersytet Medyczny https://orcid.org/0009-0001-7350-2306
  • Justyna Klonowska Warszawski Uniwersytet Medyczny https://orcid.org/0009-0002-8170-9187
  • Marcin Barański Warszawski Uniwersytet Medyczny https://orcid.org/0009-0003-7792-5837
  • Tomasz Kandefer Warszawski Uniwersytet Medyczny https://orcid.org/0009-0004-2714-8344
  • Maria Izabela Sroka Warszawski Uniwersytet Medyczny https://orcid.org/0009-0002-8743-8963

DOI:

https://doi.org/10.12775/QS.2025.40.59784

Keywords

COVID-19, myocarditis, diagnosis, treatment, Epidemiology

Abstract

Myocarditis is a rare inflammatory disease affecting the myocardium and is caused by a variety of factors – medications, toxins, viruses and other processes that can include the heart muscle. It presents with multiple symptoms and can lead to heart failure and in some cases even sudden death. The diagnosis of myocarditis especially in COVID-19 poses many challenges. In regards to SARS-CoV-2 the post-infection myocarditis is more common, however there were some cases of post-vaccination myocarditis present. Treatment strategies are primarily supportive and focused on battling the symptoms. In this article we focused on research about pathophysiology, clinical presentation, diagnosis, treatment and long-term effects of COVID-19 on the heart.

References

1. Sagar S, Liu PP, Cooper LT, Jr. Myocarditis. Lancet. Feb 25 2012;379(9817):738-47. doi:10.1016/S0140-6736(11)60648-X

2. Fairweather D, Beetler DJ, Di Florio DN, Musigk N, Heidecker B, Cooper LT, Jr. COVID-19, Myocarditis and Pericarditis. Circ Res. May 12 2023;132(10):1302-1319. doi:10.1161/CIRCRESAHA.123.321878

3. Krishna BA, Metaxaki M, Sithole N, Landin P, Martin P, Salinas-Botran A. Cardiovascular disease and covid-19: A systematic review. Int J Cardiol Heart Vasc. Oct 2024;54:101482. doi:10.1016/j.ijcha.2024.101482

4. Thaker R, Faraci J, Derti S, Schiavone JF. Myocarditis in SARS-CoV-2: A Meta-Analysis. Cureus. Oct 2023;15(10):e48059. doi:10.7759/cureus.48059

5. Boehmer TK, Kompaniyets L, Lavery AM, et al. Association Between COVID-19 and Myocarditis Using Hospital-Based Administrative Data - United States, March 2020-January 2021. MMWR Morb Mortal Wkly Rep. Sep 3 2021;70(35):1228-1232. doi:10.15585/mmwr.mm7035e5

6. Writing C, Gluckman TJ, Bhave NM, et al. 2022 ACC Expert Consensus Decision Pathway on Cardiovascular Sequelae of COVID-19 in Adults: Myocarditis and Other Myocardial Involvement, Post-Acute Sequelae of SARS-CoV-2 Infection, and Return to Play: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. May 3 2022;79(17):1717-1756. doi:10.1016/j.jacc.2022.02.003

7. Spychalska M, Spychalski J. COVID-19 Sequelae: Long-Term Impairments in Physical Performance. Quality in Sport. 03/08 2025;39:58900. doi:10.12775/QS.2025.39.58900

8. Shu H, Zhao C, Wang DW. Understanding COVID-19-related myocarditis: pathophysiology, diagnosis, and treatment strategies. Cardiol Plus. Apr-Jun 2023;8(2):72-81. doi:10.1097/CP9.0000000000000046

9. Cersosimo A, Di Pasquale M, Arabia G, Metra M, Vizzardi E. COVID myocarditis: a review of the literature. Monaldi Arch Chest Dis. Nov 3 2023;doi:10.4081/monaldi.2023.2784

10. Yendrapalli U, Hassoun A, Zalamea RM, Hritani A. Myocarditis presentation following COVID-19 virus infection versus COVID-19 vaccination. Am J Cardiovasc Dis. 2022;12(5):272-277.

11. Hufnagel G, Pankuweit S, Richter A, Schonian U, Maisch B. The European Study of Epidemiology and Treatment of Cardiac Inflammatory Diseases (ESETCID). First epidemiological results. Herz. May 2000;25(3):279-85. doi:10.1007/s000590050021

12. Kociol RD, Cooper LT, Fang JC, et al. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association. Circulation. Feb 11 2020;141(6):e69-e92. doi:10.1161/CIR.0000000000000745

13. Lovell JP, Cihakova D, Gilotra NA. COVID-19 and Myocarditis: Review of Clinical Presentations, Pathogenesis and Management. Heart Int. 2022;16(1):20-27. doi:10.17925/HI.2022.16.1.20

14. Okor I, Bob-Manuel T, Price J, et al. COVID-19 Myocarditis: An Emerging Clinical Conundrum. Curr Probl Cardiol. Sep 2022;47(9):101268. doi:10.1016/j.cpcardiol.2022.101268

15. Siripanthong B, Nazarian S, Muser D, et al. Recognizing COVID-19-related myocarditis: The possible pathophysiology and proposed guideline for diagnosis and management. Heart Rhythm. Sep 2020;17(9):1463-1471. doi:10.1016/j.hrthm.2020.05.001

16. Kamath S, Gomah MT, Stepman G, DiMartino P, Adetula I. COVID-19-Associated Acute Myocarditis: Risk Factors, Clinical Outcomes, and Implications for Early Detection and Management. Cureus. Sep 2023;15(9):e44617. doi:10.7759/cureus.44617

17. Ali M, Shiwani HA, Elfaki MY, et al. COVID-19 and myocarditis: a review of literature. Egypt Heart J. Apr 5 2022;74(1):23. doi:10.1186/s43044-022-00260-2

18. Ahmed A, Iqbal A, Abdullah A, Irshad M, Khan MQ. Clinical Presentation and Outcomes of Myocarditis Among the COVID-19 Pediatric Population: A Review of 100 Cases. Cureus. Sep 2024;16(9):e69885. doi:10.7759/cureus.69885

19. Ammirati E, Lupi L, Palazzini M, et al. Prevalence, Characteristics, and Outcomes of COVID-19-Associated Acute Myocarditis. Circulation. Apr 12 2022;145(15):1123-1139. doi:10.1161/CIRCULATIONAHA.121.056817

20. Medranda GA, Case BC, Fazlalizadeh H, et al. The Impact of Ejection Fraction on COVID-19 Patients With Myocardial Injury. Cardiovascular Revascularization Medicine. 2021/07/01/ 2021;28:S23. doi:https://doi.org/10.1016/j.carrev.2021.06.052

21. Crosier R, Kafil TS, Paterson DI. Imaging for Cardiovascular Complications of COVID-19: Cardiac Manifestations in Context. Can J Cardiol. Jun 2023;39(6):779-792. doi:10.1016/j.cjca.2023.01.022

22. Samimisedeh P, Jafari Afshar E, Tayebi A, Rastad H. Post-acute midterm follow-up cardiac MRI findings and clinical outcomes in patients with COVID-19 vaccine-associated myocarditis: a comprehensive systematic review and meta-analysis. Infect Dis (Lond). Mar 2024;56(3):193-205. doi:10.1080/23744235.2023.2286289

23. Friedrich MG, Sechtem U, Schulz-Menger J, et al. Cardiovascular Magnetic Resonance in Myocarditis: A JACC White Paper. Journal of the American College of Cardiology. 2009/04/28/ 2009;53(17):1475-1487. doi:https://doi.org/10.1016/j.jacc.2009.02.007

24. Martusewicz-Boros MM, Boros PW, Piotrowska-Kownacka D, Paciorek M. Myocarditis after COVID-19 pneumonia: incidence and risk factors. Pol Arch Intern Med. Jun 23 2023;133(6)doi:10.20452/pamw.16510

25. Wiligórska N, Wiligórska D, Pawlak A. Zapalenie mięśnia sercowego. Kardiologia Inwazyjna. 2017-08-02 2017;12(3):47-58.

26. Sayegh MN, Goins AE, Hall MAK, Shin YM. Presentations, Diagnosis, and Treatment of Post-COVID Viral Myocarditis in the Inpatient Setting: A Narrative Review. Cureus. May 2023;15(5):e39338. doi:10.7759/cureus.39338

27. Zys D, Wojszczyk M, Ryniecka J, et al. Reviewing the current diagnostic and treatment approaches for myocarditis – analysis of literature. Quality in Sport. 01/07 2025;37:57145. doi:10.12775/QS.2025.37.57145

28. Haussner W, DeRosa AP, Haussner D, Tran J, Torres-Lavoro J, Kamler J, Shah K. COVID-19 associated myocarditis: A systematic review. Am J Emerg Med. Jan 2022;51:150-155. doi:10.1016/j.ajem.2021.10.001

29. Davis MG, Bobba A, Chourasia P, et al. COVID-19 Associated Myocarditis Clinical Outcomes among Hospitalized Patients in the United States: A Propensity Matched Analysis of National Inpatient Sample. Viruses. Dec 14 2022;14(12)doi:10.3390/v14122791

30. Sai Santhosha Mrudula A, Agarwal P, Vempati R, et al. Clinical outcome of established diagnostic and treatment modalities of COVID-19-associated myocarditis: a systematic review. Ann Med Surg (Lond). Jul 2023;85(7):3583-3594. doi:10.1097/MS9.0000000000000964

31. Ghantous E, Topilsky Y. Recovery of cardiac function following COVID-19. Eur J Heart Fail. Nov 2021;23(11):1913-1915. doi:10.1002/ejhf.2364

32. Friedrich M, Garg R. COVID-19-induced myocarditis: A multicenter cardiovascular magnetic resonance study. Kardiol Pol. 2023;81(5):444-445. doi:10.33963/KP.a2023.0101

33. Chaichuum S, Tseng CL, Chang SC, et al. Assessment of cardiac adverse events following COVID-19 vaccination by speckle tracking echocardiography. Sci Rep. May 13 2024;14(1):10849. doi:10.1038/s41598-024-61641-y

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Published

2025-04-14

How to Cite

1.
WALKOWSKI, Radoslaw, WASINIEWSKA, Weronika, KOSEK, Szymon, KLONOWSKA, Justyna, BARAŃSKI, Marcin, KANDEFER, Tomasz and SROKA, Maria Izabela. Myocarditis in COVID-19 – Epidemiology, Pathophysiology, Diagnosis, Treatment and Clinical Outcomes. Quality in Sport. Online. 14 April 2025. Vol. 40, p. 59784. [Accessed 29 June 2025]. DOI 10.12775/QS.2025.40.59784.
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Vol. 40 (2025)

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Medical Sciences

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Copyright (c) 2025 Radoslaw Walkowski, Weronika Wasiniewska, Szymon Kosek, Justyna Klonowska, Marcin Barański, Tomasz Kandefer, Maria Izabela Sroka

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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