(MENAFN- Gulf Times) A case report by some Qatar-based researchers highlights that while the vaccines are generally safe, some rare and life-threatening side effects and myocarditis (inflammation) have been reported in the recent past. of the cardiac muscle ) is one. The authors of the report described the case of myocarditis induced by the Covid-19 mRNA vaccine in a young man. The report, originally published in the Journal of Emergency Medicine, Trauma and Acute Care, recently appears in Qscience. The authors of the report are: Muhammad Abd Ur Rehman, Hamid Ilyas and Junaid Iqbal of the emergency department of Hamad Medical Corporation; Syed Haris Huda, Emergency Department, Sidra Medicine; Hina Akram, Department of Public Health, Qatar University; and Mohamed Maryam al-Kuwari and Samah Mohamed from the radiology branch of the cardiac hospital. The report cites the case of a 22-year-old man, a non-smoker and with no medical history, who went to the emergency room after experiencing persistent and persistent palpitations. He complained of slow-onset chest discomfort accompanied by difficulty breathing. He was admitted to the hospital due to elevated cardiac enzymes and a related echocardiogram. His general physical examination, including the thoracic and cardiovascular examination, was normal. The electrocardiogram showed general sinus rhythm without ischemic adjustments. Three days earlier, he had received the third dose of the BNT-162b2 mRNA vaccine against Covid-19. The patient was sent home with orders to report to the emergency room if symptoms recurred. The next day he went to the emergency room with court cases of two episodes of severe palpitations that lasted approximately 8 to 10 minutes with chest pain. discomfort. The report says: “He was afebrile, with a heart rate of 75 beats per minute, blood pressure of 127/79 mmHg, respiratory rate of 18 breaths per minute, and oxygen saturation of 99%. The ECG returned to normal, with no adjustments indicating arrhythmia or ischemia. »Due to the timing of his presentation, he was kept under control for blood tests and cardiac monitoring. His complete blood count, random blood sugar, electrolytes, kidney and thyroid levels serve as tests within general limits. In contrast, his troponin T score was 1521 ng/L. At that time the patient was symptomatic. He gained two antippast dueling agents and was admitted to cardiology for further evaluation of higher troponin T. Urgent transthoracic echocardiography revealed an overall left ventricular ejection fraction of 57% with some wall motion abnormalities. regional. Automated topographic coronary angiography was performed and there was no evidence of coronary artery disease on angiography. This was followed up by cardiac magnetic resonance imaging, which reported sophisticated hypoconsistency of the basal to mid-anterior dueral wall and apical past dueral segments in the first photographs after intravenous injection of gadolinium, while expired photographs showed enhanced of the mid-subepicardial and endocardial wall at the basal point. dueral inferopast and the walls of the dueral past basoapical. These locations suggest myocarditis. “The MRI the next day revealed myocarditis. Many cases of myocarditis due to the Covid-19 mRNA vaccine have been reported in the literature. This case is notable for the presence of regional wall motion abnormalities on echocardiogram, which is an uncommon location in patients with myocarditis. “We propose to maintain a low threshold for investigating young patients with cardiovascular symptoms who have recently received an mRNA vaccine against Covid-19,” the report highlights. The authors note that myocarditis emerged as a rare but significant adverse effect of the mRNA-based Covid-19 vaccine. 19 vaccines. “While vaccines are sometimes safe, we should not overlook their rare and potentially fatal side effects. Intravenous glucocorticoids and renin-angiotensin-aldosterone system (RAAS) antagonists are the recommended remedies for milder cases, while the use of non-steroidal anti-inflammatory drugs is not recommended. Serious cases are treated as if they were central failures,” the report concludes.
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