Acute pericarditis as a major clinical manifestation of long COVID-19 syndrome

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Dini, Frank LloydCentro Medico Sant'Agostino, Milano, Italy; University Clinical Centre of Kosova, Kosovo, Prishtina (författare)

Acute pericarditis as a major clinical manifestation of long COVID-19 syndrome

Artikel/kapitelEngelska2023

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Elsevier,2023
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LIBRIS-ID:oai:DiVA.org:umu-202257
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-202257URI
https://doi.org/10.1016/j.ijcard.2022.12.019DOI

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Språk:engelska
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Background: The long COVID-19 syndrome has been recently described and some reports have suggested that acute pericarditis represents important manifestation of long COVID-19 syndrome. The aim of this study was to identify the prevalence and clinical characteristics of patients with long COVID-19, presenting with acute pericarditis.Methods: We retrospectively included 180 patients (median age 47 years, 62% female) previously diagnosed with COVID-19, exhibiting persistence or new-onset symptoms ≥12 weeks from a negative naso-pharyngeal SARS CoV2 swamp test. The original diagnosis of COVID-19 infection was determined by a positive swab. All patients had undergone a thorough physical examination. Patients with suspected heart involvement were referred to a complete cardiovascular evaluation. Echocardiography was performed based on clinical need and diagnosis of acute pericarditis was achieved according to current guidelines.Results: Among the study population, shortness of breath/fatigue was reported in 52%, chest pain/discomfort in 34% and heart palpitations/arrhythmias in 37%. Diagnosis of acute pericarditis was made in 39 patients (22%). Mild-to-moderate pericardial effusion was reported in 12, while thickened and bright pericardial layers with small effusions (< 5 mm) with or without comet tails arising from the pericardium (pericardial B-lines) in 27. Heart palpitations/arrhythmias (OR:3.748, p = 0.0030), and autoimmune disease and allergic disorders (OR:4.147, p = 0.0073) were independently related to the diagnosis of acute pericarditis, with a borderline contribution of less likelihood of hospitalization during COVID-19 (OR: 0.100, p = 0.0512).Conclusion: Our findings suggest a high prevalence of acute pericarditis in patients with long COVID-19 syndrome. Autoimmune and allergic disorders, and palpitations/arrhythmias were frequently associated with pericardial disease.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Acute pericarditis
COVID-19
SARS-CoV2

Biuppslag (personer, institutioner, konferenser, titlar ...)

Baldini, UmbertoSalus Itinere, Livorno, Italy (författare)
Bytyci, IbadeteUmeå universitet,Avdelningen för medicin,University Clinical Centre of Kosova, Prishtina, Kosovo(Swepub:umu)ibby0002 (författare)
Pugliese, Nicola RiccardoDepartment of Clinical and Experimental Medicine, University of Pisa, Italy (författare)
Bajraktari, GaniUmeå universitet,Avdelningen för medicin,University Clinical Centre of Kosova, Prishtina, Kosovo(Swepub:umu)gaba0006 (författare)
Henein, Michael Y.Umeå universitet,Avdelningen för medicin(Swepub:umu)mihe0015 (författare)
Centro Medico Sant'Agostino, Milano, Italy; University Clinical Centre of Kosova, Kosovo, PrishtinaSalus Itinere, Livorno, Italy (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Journal of Cardiology: Elsevier374, s. 129-1340167-52731874-1754

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Av författaren/redakt...: Dini, Frank Lloy ...; Baldini, Umberto; Bytyci, Ibadete; Pugliese, Nicola ...; Bajraktari, Gani; Henein, Michael ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

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Av lärosätet: Umeå universitet

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