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Self-limited myocarditis presenting with chest pain and ST segment elevation in adolescents after vaccination with the BNT162b2 mRNA vaccine

Published online by Cambridge University Press:  28 June 2021

Jihyun Park Open the ORCID record for Jihyun Park [Opens in a new window] ,
Dona R. Brekke  and
Andras Bratincsak Open the ORCID record for Andras Bratincsak [Opens in a new window]
Jihyun Park
Affiliation:
Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
Dona R. Brekke
Affiliation:
Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA Pediatric Cardiology, Hawaii Pacific Health Medical Group, Honolulu, Hawaii, USA
Andras Bratincsak*
Affiliation:
Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA Pediatric Cardiology, Hawaii Pacific Health Medical Group, Honolulu, Hawaii, USA
*
Author for correspondence: Andras Bratincsak, MD, Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, 1319 Punahou Street, Suite 950, Honolulu, Hawaii, USA. Tel: 808-983-8933; Fax: 808-957-9770. E-mail: andrasb@hphmg.org
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Abstract

Two adolescent males presented within 3 days after the first and second dose of the BNT162b2 vaccine with chest pain. Elevated troponin levels, ST segment elevation, and enhancement of the myocardium in cardiac MRI suggested myocarditis. Left ventricular function remained normal, symptoms resolved, and patients were discharged in 4 days. BNT162b2 vaccine may be associated with self-limited myocarditis in youth.

Keywords

myocarditisST segment elevationtroponinCOVID-19vaccine
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 1 , January 2022 , pp. 146 - 149
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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