Evidence map›Paper›PMID 33166657›Full record

ReviewJournal of cardiac failure2021

Clinically Suspected Myocarditis in the Course of Severe Acute Respiratory Syndrome Novel Coronavirus-2 Infection: Fact or Fiction?

Krzysztof Ozieranski, Agata Tyminska, Szymon Jonik, Renzo Marcolongo, Anna Baritussio, Marcin Grabowski, Krzysztof J Filipiak, Grzegorz Opolski, Alida L P Caforio

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of cardiac failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Management Status of Myocarditis-Related Sudden Cardiac Death.Reviews in cardiovascular medicine · 2024
    Review
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  3. Review
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  5. Review
  6. Review
  7. Article
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  9. COVID-19 and the cardiovascular system: an update.The American journal of the medical sciences · 2022
    Review
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  11. Takotsubo syndrome in COVID-19: a case series study.Echocardiography (Mount Kisco, N.Y.) · 2022
    Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Bilirubin levels as an independent predictor of myocarditis in patients with COVID-19.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2021
    Article
  18. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Krzysztof OzieranskiFirst Department of Cardiology Medical University of Warsaw, Warsaw, Poland.
Agata TyminskaFirst Department of Cardiology Medical University of Warsaw, Warsaw, Poland. Electronic address: atyminska@wum.edu.pl.
Szymon JonikFirst Department of Cardiology Medical University of Warsaw, Warsaw, Poland.
Renzo MarcolongoCardiology, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy; Haematology and Clinical Immunology Unit and Cardio-immunology Outpatient Clinic, University of Padova, Padova, Italy.
Anna BaritussioCardiology, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Marcin GrabowskiFirst Department of Cardiology Medical University of Warsaw, Warsaw, Poland.
Krzysztof J FilipiakFirst Department of Cardiology Medical University of Warsaw, Warsaw, Poland.
Grzegorz OpolskiFirst Department of Cardiology Medical University of Warsaw, Warsaw, Poland.
Alida L P CaforioCardiology, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Medical University of Warsaw · PLUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac complications, including clinically suspected myocarditis, have been described in novel coronavirus disease 2019. Here, we review current data on suspected myocarditis in the course of severe acute respiratory syndrome novel coronavirus-2 (SARS-CoV-2) infection. Hypothetical mechanisms to explain the pathogenesis of troponin release in patients with novel coronavirus disease 2019 include direct virus-induced myocardial injury (ie, viral myocarditis), systemic hyperinflammatory response (ie, cytokine storm), hypoxemia, downregulation of angiotensin-converting enzyme 2, systemic virus-induced endothelialitis, and type 1 and type 2 myocardial infarction. To date, despite the fact that millions of SARS-CoV-2 infections have been diagnosed worldwide, there is no definitive proof that SARS-CoV-2 is a novel cardiotropic virus causing direct cardiomyocyte damage. Diagnosis of viral myocarditis should be based on the molecular assessment of endomyocardial biopsy or autopsy by polymerase chain reaction or in-situ hybridization. Blood, sputum, or nasal and throat swab virology testing are insufficient and do not correlate with the myocardial involvement of a given pathogen. Data from endomyocardial biopsies and autopsies in clinically suspected SARS-CoV-2 myocarditis are scarce. Overall, current clinical epidemiologic data do not support the hypothesis that viral myocarditis is caused by SARS-CoV-2, or that it is common. More endomyocardial biopsy and autopsy data are also needed for a better understanding of pathogenesis of clinically suspected myocarditis in the course of SARS-CoV-2 infection, which may include virus-negative immune-mediated or already established subclinical autoimmune forms, triggered or accelerated by the hyperinflammatory state of severe novel coronavirus disease 2019.

Indexed as

SARS-CoV-2COVID-19EuropeHumansInflammation MediatorsMyocarditisInflammation Mediatorscoronavirusendomyocardial biopsyheart failureinflammatory cardiomyopathySARS-CoV-2

Identifiers

PMID33166657
PMCPMC7647393
OpenAlexW3095190050

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.