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Cited by 233

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Pathological Evidence for SARS-CoV-2 as a Cause of Myocarditis

Open access
Kawakami, Rika, Sakamoto, Atsushi, Kawai, Kenji, Gianatti, Andrea, Pellegrini, Dario, Nasr, Ahmed, Kutys, Bob, Guo, Liang, Cornelissen, Anne, Mori, Masayuki, Sato, Yu, Pescetelli, Irene, Brivio, Matteo, Romero, Maria, Guagliumi, Giulio, Virmani, Renu, Finn, Aloke V.·2021·Journal of the American College of Cardiology

Abstract

To investigate whether severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2)–induced myocarditis constitutes an important mechanism of cardiac injury, a review was conducted of the published data and the authors’ experience was added from autopsy examination of 16 patients dying of SARS-CoV-2 infection. Myocarditis is an uncommon pathologic diagnosis occurring in 4.5% of highly selected cases undergoing autopsy or endomyocardial biopsy. Although polymerase chain reaction–detectable virus could be found in the lungs of most coronavirus disease-2019 (COVID-19)–infected subjects in our own autopsy registry, in only 2 cases was the virus detected in the heart. It should be appreciated that myocardial inflammation alone by macrophages and T cells can be seen in noninfectious deaths and COVID-19 cases, but the extent of each is different, and in neither case do such findings represent clinically relevant myocarditis. Given its extremely low frequency and unclear therapeutic implications, the authors do not advocate use of endomyocardial biopsy to diagnose myocarditis in the setting of COVID-19.

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Crossref · 10.1016/j.jacc.2020.11.031

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Metadata

Authors
Kawakami, R., Sakamoto, A., Kawai, K., Gianatti, A., Pellegrini, D., Nasr, A., Kutys, B., Guo, L., Cornelissen, A., Mori, M., Sato, Y., Pescetelli, I., Brivio, M., Romero, M., Guagliumi, G., Virmani, R., & Finn, A. V.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2021-01
Volume
77
Issue
3
Pages
314-325
ISSN
0735-1097 (ISSN-L)
OpenAlex
W3123993889
Cited by
233
References
6
FWCI
32.08
Type
journal article
Language
en
Open access
bronze

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