ESC Heart Failure (Apr 2022)

Myocarditis following rAd26 and rAd5 vector‐based COVID‐19 vaccine: case report

  • Farah Naghashzadeh,
  • Shadi Shafaghi,
  • Atosa Dorudinia,
  • Seyed Alireza Naji,
  • Majid Marjani,
  • Ahmad Amin,
  • Arezoo Mohamadifar,
  • Sima Noorali,
  • Babak Sharif Kashani

DOI
https://doi.org/10.1002/ehf2.13821
Journal volume & issue
Vol. 9, no. 2
pp. 1483 – 1486

Abstract

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Abstract SARS‐CoV‐2 vaccines provide a safe solution with a major impact on reducing the spread of the virus and mild side effects. Research has shown rare cases of myocarditis after mRNA vaccines. This study presents a 29‐year‐old male with chest pain after 48 h of receiving rAd26 and rAd5 vector‐based COVID‐19 vaccine (Sputnik V vaccine). The electrocardiogram revealed ST‐segment elevation. Also, the laboratory screening was remarkable for elevated cardiac Troponin‐I level, and leukocytosis; and echocardiography depicted severe left ventricular systolic dysfunction. Overall, endomyocardial biopsy proved lymphocytic myocarditis such that the patient was successfully treated with immunosuppressive and guideline‐directed medical treatment.

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