{
    "abstract": "Following infection with severe acute respiratory syndrome coronavirus, a post-infectious multisystem inflammatory syndrome in adults (MIS-A) has been identified. It affects multiple organ systems and can lead to multi-organic failure.\nThis case report describes a patient with MIS-A with significant cardiac involvement including peri-myocarditis, pulmonary hypertension, right-sided heart failure, tricuspid regurgitation, and cardiogenic shock. After being diagnosed and treated correctly for MIS-A, the patient recovered completely, without any cardiac sequelae.\nThe hyperinflammation in MIS-A can have cardiac engagement. Although more research is required to further clarify the underlying mechanisms, prompt diagnosis and anti-inflammatory treatment are crucial for better outcomes and cardiac recovery.",
    "authors": [
        {
            "affiliation": "Heart and Vascular Theme, Karolinska University Hospital, Eugeniav\u00e4gen 3, Solna, 171 76 Stockholm, Sweden.",
            "firstname": "Linda",
            "initials": "L",
            "lastname": "Massoud"
        },
        {
            "affiliation": "Department of Infectious Disease, Karolinska University Hospital, Stockholm, Sweden.\nDepartment of Medicine, Division of Infectious diseases and Dermatology, Karolinska Institute, Stockholm, Sweden.",
            "firstname": "Katarina",
            "initials": "K",
            "lastname": "Westling"
        },
        {
            "affiliation": "Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.",
            "firstname": "Marie",
            "initials": "M",
            "lastname": "Fischer"
        },
        {
            "affiliation": "Heart and Vascular Theme, Karolinska University Hospital, Eugeniav\u00e4gen 3, Solna, 171 76 Stockholm, Sweden.\nDepartment of Medicine, Karolinska Institute, Stockholm, Sweden.",
            "firstname": "Emil",
            "initials": "E",
            "lastname": "Najjar"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.",
    "doi": "10.1093/ehjcr/ytad594",
    "journal": "European heart journal. Case reports",
    "keywords": [
        "Cardiogenic shock",
        "Case report",
        "Multisystem inflammatory syndrome in adults",
        "Right ventricular heart failure",
        "Tricuspid regurgitation"
    ],
    "methods": null,
    "publication_date": "2024-04-19",
    "pubmed_id": "38638274\n33031361\n34550381\n35306376\n34661054\n35047731\n34876052\n32654963\n32968776\n33520022\n34957757\n29201914",
    "results": null,
    "title": "Multisystem inflammatory syndrome in adults with cardiac engagement: a case report and literature review.",
    "xml": "<Element 'PubmedArticle' at 0x7885039613f0>"
}