Background: Of all patients infected with COVID-19, 95% have mild symptoms, but 5% may experience severe illness. There are reports of myocardial injury associated with the COVID19 infection in middle-aged and old people with baseline cardiac conditions. Acute myocardial injury has been suggested as a marker for disease severity. Sometimes it is hard to differentiate between acute coronary syndrome and acute myocarditis; hence detailed history taking, lab tests and imaging will be necessary. Case Presentation: Herein, we described two young patients presenting with chest pain and no significant respiratory symptoms, one without cardiovascular risk factors and another one with diabetes mellitus and cigarette smoking. COVID-19 was documented with real-time reverse-transcriptase-polymerase chain reaction (rRT-PCR). Conclusion: Early Chest CT scan besides coronary CT angiogram (if available) in suspicious cases can help physician to make fast decisions. These two cases both had complication-free hospital stay. Despite markedly high on-admission troponin levels, which is known as a marker of poor prognosis they discharged in good condition. One month follow-up was also uneventful.
【저자키워드】 COVID-19, Acute coronary syndrome, Acute myocarditis, 【초록키워드】 COVID19, disease severity, Infection, Diabetes Mellitus, smoking, rRT-PCR, myocardial injury, CT scan, Patient, Follow-up, mild symptoms, marker, chest pain, Hospital stay, poor prognosis, help, troponin levels, lab, described, suggested, discharged, presenting, conditions, baseline, cardiovascular risk factor, coronary syndrome, infected with COVID-19, significant respiratory symptoms, 【제목키워드】 Pain, patients with COVID-19, significant respiratory symptom,