PT  - JOURNAL ARTICLE
AU  - Gaine, Sean
AU  - Devitt, Patrick
AU  - Coughlan, John Joseph
AU  - Pearson, Ian
TI  - COVID-19-associated myocarditis presenting as new-onset heart failure and atrial fibrillation
AID  - 10.1136/bcr-2021-244027
DP  - 2021 Jul 01
TA  - BMJ Case Reports
PG  - e244027
VI  - 14
IP  - 7
4099  - http://casereports.bmj.com/content/14/7/e244027.short
4100  - http://casereports.bmj.com/content/14/7/e244027.full
SO  - BMJ Case Reports2021 Jul 01; 14
AB  - A 58-year-old man presented to the emergency department with recent-onset palpitations and progressive exertional dyspnoea. ECG demonstrated new-onset atrial fibrillation. Transthoracic echocardiogram showed global impairment in left ventricular systolic function with left ventricular ejection fraction of 20%. Cardiac MRI (CMRI) demonstrated generalised severe myocarditis. A SARS-CoV-2 PCR was positive for SARS-CoV-2 RNA. As such, we diagnosed our patient with COVID-19-associated myocarditis based on CMRI appearances and positive SARS-CoV-2 swab. This case highlights that COVID-19-associated myocarditis can present as new atrial fibrillation and heart failure without the classic COVID-19-associated symptoms.