How Safe and Useful Is Upper Gastrointestinal Endoscopy in the Setting of Recent Acute Coronary Syndrome? Audit from a London District General Hospital

2009 ◽  
Vol 69 (5) ◽  
pp. AB225 ◽  
Author(s):  
Fizzah A. Choudry ◽  
Asma Fikree ◽  
Kalpesh Besherdas
Keyword(s):  
Acute Coronary Syndrome ◽  
General Hospital ◽  
Gastrointestinal Endoscopy ◽  
District General Hospital ◽  
Upper Gastrointestinal Endoscopy ◽  
Coronary Syndrome ◽  
Upper Gastrointestinal

scholarly journals Myocarditis in SARS-CoV-2 negative patients with suspected preceding infection

2021 ◽  
Vol 14 (1) ◽  
pp. e239513
Author(s):  
Matthew Henwood ◽  
Daniel Lake ◽  
Felix Allen ◽  
Mansoor Sange
Keyword(s):  
Acute Coronary Syndrome ◽  
General Hospital ◽  
Respiratory Disease ◽  
Young Patients ◽  
District General Hospital ◽  
Adjunctive Treatment ◽  
Transthoracic Echocardiogram ◽  
Recent Infection ◽  
Coronary Syndrome ◽  
Low Threshold

SARS-CoV-2 is primarily a respiratory disease; however, there have been multiple reports of associated myocarditis. In our 463 bedded, district general hospital, we noted an influx of young patients with myocarditis shortly after the peak of the outbreak. We report two cases presenting with myocarditis, both of whom tested negative for the virus despite clinical and biochemical evidence of recent infection. Diagnosis was made based on positive transthoracic echocardiogram (TTE) findings and a raised troponin, not in the context of suspected acute coronary syndrome. We recommend that patients with negative coronavirus tests should still be considered at risk of potential sequelae from the disease. There should be a low threshold for performing basic cardiac investigations: ECG, troponin and TTE as well as seeking a cardiology opinion. Colchicine is a recognised treatment for viral pericarditis and should be considered as adjunctive treatment; however, further research is required specific to SARS-CoV-2.

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