Everything in one place: Covid-19 associated myocarditis in a patient
with coronary artery disease and end stage renal failure
Myocarditis is associated with increased morbidity and mortaity in
patients with Covid-19 infection. Little is known about the true nature
and exact pathogenesis of myocardial involvement in these patients. 44
year old patient admitted with exertional dyspnea. He had previous
coronary artery bypass surgey and received hemodialysis for lupus
nephritis. He was diagnosed with Covid-19 infection 1 month ago.
Echocardiography revealed decreased left ventricular ejection fraction
and left ventricular global longitudinal strain (GLS). Coronary
computerized tomographic angiography revealed patent bypass grafts. His
medical treatment was adjusted. Follow up echocardiography after 3
months showed markedly improved LVEF and left ventricular GLS.