Background Coronavirus disease 2019 (COVID-19) has been shown to have extensive effects on the cardiovascular system. Its long-term cardiac manifestations, however, remain unclear. Case presentation We report the case of a Caucasian patient with a mild and self-limited presentation of COVID-19, with subsequent development, months later, of exertional dyspnea and non-sustained ventricular tachycardia, long after resolution of his illness and after returning to aerobic exercise. The patient had normal screening tests including electrocardiogram (ECG) and echocardiogram 4 months after his illness. Cardiac magnetic resonance imaging demonstrated epicardial and pericardial fibrosis of the right ventricle free wall and outflow tract and the pericardium over the anterior wall, 6 months following the initial infection. First abnormal ECG was recorded at month 7 following illness. Conclusions This case suggests an insidious and possible long-term cardiac involvement and reflects the challenges in traditional workups and screening modalities in identifying cardiac involvement in COVID-19.
【저자키워드】 COVID-19, SARS-CoV-2, Cardiovascular Magnetic Resonance, late gadolinium enhancement, ventricular tachycardia, 【초록키워드】 Coronavirus disease 2019, magnetic resonance imaging, Infection, fibrosis, cardiovascular system, ECG, Dyspnea, Patient, Mild, Manifestations, screening test, cardiac, Tachycardia, Echocardiogram, Effect, aerobic, initial, shown, subsequent, demonstrated, reflect, ventricular, was recorded, 【제목키워드】 fibrosis, Case report,