Myopericardial complications following COVID-19 disease and vaccination: a clinical consensus statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases
The aim of the present clinical consensus statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases is to review the current knowledge on the epidemiology, pathogenesis, diagnosis, therapy, and outcomes of myocardial and pericardial complications of coronavirus disease 2019 (COVID-19) and vaccination in order to improve the awareness and clinical confidence on the management of patients with these complications. The risk of myopericardial complications is especially higher within 1 month of COVID-19 disease and vaccination. Forms related to the disease are generally more common and severe than those related to vaccination. Even if vaccination against COVID-19 increases myocarditis risk, this risk is lower in vaccinated than non-vaccinated COVID-19 individuals, supporting the vaccine use. Overall, COVID-19 related complications, especially myocarditis, are relatively rare.
Authors
- Angelos G. Rigopoulos (ORCID: https://orcid.org/0000-0003-0735-2319)
- Antonio Luca Brucato (ORCID: https://orcid.org/0000-0002-7566-5600)
- Mary N. Sheppard (ORCID: https://orcid.org/0000-0003-2724-3881)
- R Marcolongo (ORCID: https://orcid.org/0000-0002-5306-1785)
- Lia Crotti (ORCID: https://orcid.org/0000-0001-8739-6527)
- Antonios Pantazis (ORCID: https://orcid.org/0000-0001-5952-6187)
- Gianfranco Sinagra (ORCID: https://orcid.org/0000-0003-2700-8478)
- Lorenzo Dagna (ORCID: https://orcid.org/0000-0002-7428-315X)
- George A. Lazaros (ORCID: https://orcid.org/0000-0003-2802-9617)
- Allan L. Klein (ORCID: https://orcid.org/0000-0001-9240-8369)
- Karin Klingel (ORCID: https://orcid.org/0000-0003-0203-2498)
- Massimo Imazio (ORCID: https://orcid.org/0000-0002-5722-0245)
- Alida L.P. Caforio (ORCID: https://orcid.org/0000-0002-4901-5655)
- Silvia Castelletti (ORCID: https://orcid.org/0000-0001-9693-4083)
- Petr Kuchynka (ORCID: https://orcid.org/0000-0002-1816-5634)
- Yehuda Adler (ORCID: https://orcid.org/0009-0000-2718-6480)
- Andrea Frustaci (ORCID: https://orcid.org/0000-0002-5748-0725)
- Petar Seferović (ORCID: https://orcid.org/0000-0002-1955-4199)
- Cristina Basso (ORCID: https://orcid.org/0000-0002-0195-9753)
- Marco Merlo
- Arsen Ristić (ORCID: https://orcid.org/0000-0002-0713-1180)
- Chiara Bucciarelli‐Ducci (ORCID: https://orcid.org/0000-0002-2515-0852)
- Matteo Cameli (ORCID: https://orcid.org/0000-0003-3872-8964)
- Carsten Tschöpe (ORCID: https://orcid.org/0000-0001-5243-8985)
- Johanna Kuusisto
- A Lopez Sainz
- Thomas F. Lüscher
Institutions
- University of Siena (IT)
- University of Udine (IT)
- Cleveland Clinic (US)
- Serbian Academy of Sciences and Arts (RS)
- University of Padua (IT)
- University of Trieste (IT)
- Vita-Salute San Raffaele University (IT)
- Tel Aviv University (IL)
- St George's, University of London (GB)
- University of Milan (IT)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- University of Zurich (CH)
- Charles University (CZ)
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- Harefield Hospital (GB)
- University of Belgrade (RS)
- Kuopio University Hospital (FI)
- Royal Brompton Hospital (GB)
- Lung Institute (US)
- National Heart Hospital (BG)
- Hospital Clínic de Barcelona (ES)
- University Children's Hospital Tübingen (DE)
- Ospedale Santa Maria della Misericordia di Udine (IT)
- Berlin-Brandenburger Centrum für Regenerative Therapien (DE)
- German Centre for Cardiovascular Research (DE)
- Mitera Hospital (GR)
- Royal Hospital (OM)
- IRCCS Istituto Auxologico Italiano (IT)
- Berlin Institute of Health at Charité - Universitätsmedizin Berlin (DE)
- Deutsches Herzzentrum München (DE)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Azienda Sanitaria Universitaria Integrata di Trieste (IT)
- Hippocration General Hospital (GR)
- Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT)
- City St George's, University of London (GB)
- Imperial College London (GB)
- University of Milano-Bicocca (IT)
- Misericordia University (US)
- Charité - Universitätsmedizin Berlin (DE)
- University of Tübingen (DE)
Publication Details
- Journal
- European Heart Journal
- Published
- 2025-05-20
- DOI
- https://doi.org/10.1093/eurheartj/ehaf222
- Citations
- 8
- Primary Topic
- Viral Infections and Immunology Research
- Type
- article
- Field-Weighted Citation Impact
- 11.11