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Tomography
Volume 8
Issue 4
10.3390/tomography8040164
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Review

Myocarditis Following COVID-19 Vaccination: Cardiac Imaging Findings in 118 Studies

by
Pedram Keshavarz
1,2,
Fereshteh Yazdanpanah
3,
Maryam Emad
4,
Azadeh Hajati
4,
Seyed Faraz Nejati
4,
Faranak Ebrahimian Sadabad
4,
Tamta Azrumelashvili
5,
Malkhaz Mizandari
5,* and
Steven S. Raman
1
1
Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA
2
School of Science and Technology, The University of Georgia, Tbilisi 0171, Georgia
3
Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tabriz 5166, Iran
4
Taba Medical Imaging Center, Shiraz 71347-53151, Iran
5
Department of Diagnostic & Interventional Radiology, New Hospitals Ltd., Tbilisi 0114, Georgia
*
Author to whom correspondence should be addressed.
Academic Editor: Emilio Quaia
Tomography 2022, 8(4), 1959-1973; https://doi.org/10.3390/tomography8040164
Received: 2 June 2022 / Revised: 19 July 2022 / Accepted: 25 July 2022 / Published: 30 July 2022
(This article belongs to the Section Cardiovascular Imaging)
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Abstract

We reviewed the reported imaging findings of myocarditis in the literature following COVID-19 vaccination on cardiac imaging by a literature search in online databases, including Scopus, Medline (PubMed), Web of Science, Embase (Elsevier), and Google Scholar. In total, 532 cases of myocarditis after COVID-19 vaccination were reported (462, 86.8% men and 70, 13.2% women, age range 12 to 80) with the following distribution: Pfizer-BioNTech: 367 (69%), Moderna: 137 (25.8%), AstraZeneca: 12 (2.3%), Janssen/Johnson & Johnson: 6 (1.1%), COVAXIN: 1 (0.1%), and unknown mRNA vaccine: 9 (1.7%). The distribution of patients receiving vaccine dosage was investigated. On cardiac MR Imaging, late intravenous gadolinium enhancement (LGE) was observed mainly in the epicardial/subepicardial segments (90.8%, 318 of 350 enhancing segments), with the dominance of inferolateral segment and inferior walls. Pericardial effusion was reported in 13.1% of cases. The vast majority of patients (94%, 500 of 532) were discharged from the hospital except for 4 (0.7%) cases. Post-COVID-19 myocarditis was most commonly reported in symptomatic men after the second or third dose, with CMRI findings including LGE in 90.8% of inferior and inferolateral epicardial/subepicardial segments. Most cases were self-limited. View Full-Text
Keywords: coronavirus; myocarditis; Pfizer-BioNTech; Moderna; Janssen/Johnson & Johnson coronavirus; myocarditis; Pfizer-BioNTech; Moderna; Janssen/Johnson & Johnson
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MDPI and ACS Style

Keshavarz, P.; Yazdanpanah, F.; Emad, M.; Hajati, A.; Nejati, S.F.; Ebrahimian Sadabad, F.; Azrumelashvili, T.; Mizandari, M.; Raman, S.S. Myocarditis Following COVID-19 Vaccination: Cardiac Imaging Findings in 118 Studies. Tomography 2022, 8, 1959-1973. https://doi.org/10.3390/tomography8040164

AMA Style

Keshavarz P, Yazdanpanah F, Emad M, Hajati A, Nejati SF, Ebrahimian Sadabad F, Azrumelashvili T, Mizandari M, Raman SS. Myocarditis Following COVID-19 Vaccination: Cardiac Imaging Findings in 118 Studies. Tomography. 2022; 8(4):1959-1973. https://doi.org/10.3390/tomography8040164

Chicago/Turabian Style

Keshavarz, Pedram, Fereshteh Yazdanpanah, Maryam Emad, Azadeh Hajati, Seyed Faraz Nejati, Faranak Ebrahimian Sadabad, Tamta Azrumelashvili, Malkhaz Mizandari, and Steven S. Raman. 2022. "Myocarditis Following COVID-19 Vaccination: Cardiac Imaging Findings in 118 Studies" Tomography 8, no. 4: 1959-1973. https://doi.org/10.3390/tomography8040164

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