This case suggests an insidious and atypical presentation of the cardiac manifestations of COVID-19 and may suggest possible long-term cardiac involvement, with demonstrated LGE on CMR 6 months following illness and new ECG findings at month 7. Furthermore, it illustrates the challenges in traditional workups and screening modalities in identifying patients with potential cardiac involvement and highlights the clinical utility of CMR in such patients. Clinicians should have a high index of clinical suspicion regardless of normal screening tests such as ECG or even echocardiogram and should consider close follow-up or monitoring in patients returning to heavy exercise after COVID-19 recovery. Future long-term and larger studies are recommended to better understand the long-term cardiac manifestations in COVID-19.
COVID-19: Coronavirus disease 2019; CMR: Cardiovascular magnetic resonance; LGE: Late gadolinium enhancement; ECG: Electrocardiogram.
We would like to acknowledge the radiology department at Mount Sinai South Nassau, Oceanside, NY.
There is no funding or financial disclosures by the authors of this paper.
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Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
J Med Case Reports. 2021;15(305) © 2021 BioMed Central, Ltd.