According to ET’s piece in Science, “diffuse inflammation of the heart… that can extend throughout the three layers of the human heart to the pericardium… is a typical finding at autopsy after SARS-CoV-2 infections.”
Can anyone verify this—through literature or experience?
Thanks to @fitterhappierAJ, who tweeted this European autopsy series: academic.oup.com/eurheartj/adva…
Bottom line summary: lymphocytic myocarditis is rare, and there are many forms of heart injury.
Some more details from the European autopsy series:
The last highlighted line suggests EMB or CMR as an adjunct to troponin bumps and/or dysfunction to diagnose “myocarditis”.
I leave it as an exercise for the reader to determine the value of CMR in this clinical scenario to make a positive diagnosis of myocarditis.
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