Ventricular Tachycardia With Epicardial and Pericardial Fibrosis 6 Months After Resolution of Subclinical COVID-19

A Case Report

Jonathan Solaimanzadeh; Aaron Freilich; Michael R Sood


J Med Case Reports. 2021;15(305) 

In This Article


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.