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Influenza Myopericarditis and Pericarditis: A Literature Review

Myopericarditis is a rare complication of influenza infection. The presentation may range from mild and frequently unrecognized, to fulminant and potentially complicated by cardiogenic and/or obstructive shock (tamponade), which is associated with high mortality. We performed a review of literature...

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Autores principales: Radovanovic, Milan, Petrovic, Marija, Barsoum, Michel K., Nordstrom, Charles W., Calvin, Andrew D., Dumic, Igor, Jevtic, Dorde, Hanna, Richard D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316162/
https://www.ncbi.nlm.nih.gov/pubmed/35887887
http://dx.doi.org/10.3390/jcm11144123
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author Radovanovic, Milan
Petrovic, Marija
Barsoum, Michel K.
Nordstrom, Charles W.
Calvin, Andrew D.
Dumic, Igor
Jevtic, Dorde
Hanna, Richard D.
author_facet Radovanovic, Milan
Petrovic, Marija
Barsoum, Michel K.
Nordstrom, Charles W.
Calvin, Andrew D.
Dumic, Igor
Jevtic, Dorde
Hanna, Richard D.
author_sort Radovanovic, Milan
collection PubMed
description Myopericarditis is a rare complication of influenza infection. The presentation may range from mild and frequently unrecognized, to fulminant and potentially complicated by cardiogenic and/or obstructive shock (tamponade), which is associated with high mortality. We performed a review of literature on all influenza pericarditis and myopericarditis cases according to PRISMA guidelines using the PubMed search engine of the Medline database. Seventy-five cases of influenza myopericarditis and isolated pericarditis were identified from 1951 to 2021. Influenza A was reported twice as often as influenza B; however, influenza type did not correlate with outcome. Men and elderly patients were more likely to have isolated pericarditis, while women and younger patients were more likely to have myopericarditis. All included patients had pericardial effusion, while 36% had tamponade. Tamponade was more common in those with isolated pericarditis (41.2%) than myopericarditis (13.8%). Cardiogenic shock was more common in patients with myopericarditis (64%), with an overall mortality rate of 14.7%. Nearly 88% of the recovered patients remained without long-term complications reported. Conclusion: Influenza A appears a more common cause of pericarditis and myopericarditis. Isolated pericarditis was more commonly associated with tamponade but without reported deaths, whereas myopericarditis was more commonly associated with cardiogenic shock and death (19%).
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spelling pubmed-93161622022-07-27 Influenza Myopericarditis and Pericarditis: A Literature Review Radovanovic, Milan Petrovic, Marija Barsoum, Michel K. Nordstrom, Charles W. Calvin, Andrew D. Dumic, Igor Jevtic, Dorde Hanna, Richard D. J Clin Med Review Myopericarditis is a rare complication of influenza infection. The presentation may range from mild and frequently unrecognized, to fulminant and potentially complicated by cardiogenic and/or obstructive shock (tamponade), which is associated with high mortality. We performed a review of literature on all influenza pericarditis and myopericarditis cases according to PRISMA guidelines using the PubMed search engine of the Medline database. Seventy-five cases of influenza myopericarditis and isolated pericarditis were identified from 1951 to 2021. Influenza A was reported twice as often as influenza B; however, influenza type did not correlate with outcome. Men and elderly patients were more likely to have isolated pericarditis, while women and younger patients were more likely to have myopericarditis. All included patients had pericardial effusion, while 36% had tamponade. Tamponade was more common in those with isolated pericarditis (41.2%) than myopericarditis (13.8%). Cardiogenic shock was more common in patients with myopericarditis (64%), with an overall mortality rate of 14.7%. Nearly 88% of the recovered patients remained without long-term complications reported. Conclusion: Influenza A appears a more common cause of pericarditis and myopericarditis. Isolated pericarditis was more commonly associated with tamponade but without reported deaths, whereas myopericarditis was more commonly associated with cardiogenic shock and death (19%). MDPI 2022-07-15 /pmc/articles/PMC9316162/ /pubmed/35887887 http://dx.doi.org/10.3390/jcm11144123 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Radovanovic, Milan
Petrovic, Marija
Barsoum, Michel K.
Nordstrom, Charles W.
Calvin, Andrew D.
Dumic, Igor
Jevtic, Dorde
Hanna, Richard D.
Influenza Myopericarditis and Pericarditis: A Literature Review
title Influenza Myopericarditis and Pericarditis: A Literature Review
title_full Influenza Myopericarditis and Pericarditis: A Literature Review
title_fullStr Influenza Myopericarditis and Pericarditis: A Literature Review
title_full_unstemmed Influenza Myopericarditis and Pericarditis: A Literature Review
title_short Influenza Myopericarditis and Pericarditis: A Literature Review
title_sort influenza myopericarditis and pericarditis: a literature review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316162/
https://www.ncbi.nlm.nih.gov/pubmed/35887887
http://dx.doi.org/10.3390/jcm11144123
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