Course of Cardiac Magnetic Resonance Imaging Findings in Acute Myocarditis after COVID-19 mRNA Vaccination

Intern Med. 2022 Sep 1;61(17):2625-2629. doi: 10.2169/internalmedicine.9797-22. Epub 2022 Jun 21.

Abstract

Myocarditis is being increasingly reported as a rare complication of coronavirus disease 2019 (COVID-19) mRNA vaccines. We herein report a case of myocarditis following COVID-19 mRNA vaccination in a man. Cardiac magnetic resonance imaging (CMRI) revealed an area of high signal intensity on short T1 inversion recovery (STIR) and late gadolinium enhancement (LGE), which are characteristic of myocarditis. Follow-up CMRI performed six months later revealed improvement in the myocardial edema and LGE findings. CMRI is a useful non-invasive imaging modality for making an initial diagnosis as well as for follow-up in cases of myocarditis after COVID-19 mRNA vaccination.

Keywords: COVID-19 vaccine; cardiac magnetic resonance imaging (CMRI); myocarditis.

Publication types

  • Case Reports

MeSH terms

  • COVID-19*
  • Contrast Media
  • Gadolinium
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Myocarditis* / complications
  • Myocarditis* / etiology
  • Predictive Value of Tests
  • RNA, Messenger
  • Vaccination

Substances

  • Contrast Media
  • RNA, Messenger
  • Gadolinium