geoffrey modest medical blogs

  A recent article found that family members of patients hospitalized with Covid-19 acute respiratory distress syndrome (ARDS), versus family members with non-Covid ARDS, had significantly more posttraumatic stress disorder (PTSD) related symptoms (see  covid PTSD fam members jam2022   in dropbox, or doi:10.1001/jama.2022.2017)   Details: -- 602 family members and 307 patients were prospectively enrolled from 23 ICUs in France, from January 2020 to June 2020, with final follow-up by October 2020     -- 517 family members of 307 surviving patients , of whom 273 (89%) completed a 90-day assessment:         -- 303 family members of Covid-19 patients (median of 112 days post discharge)         -- 214 family members of non-Covid patients -- comparing demographics of family members of Covid versus non-Covid ARDS patients: mean age 50  vs  55, 75% vs 68% women, 50%  vs  47% spouses of the ICU pa...

I have heard of a few cases of myocarditis associated with the SARS-CoV-2, one from a physician in Kansas reporting on a COVID-positive patient with respiratory distress, atypical chest pain, EKG changes suggestive of a STEMI but clean (ie atherosclerosis-free) coronary arteries; and an LA cardiologist responding that she has been seeing myocarditis-like presentations. There is little written about this that i could find, but a case report from China was published in the European Society of Cardiology journal, describing a patient with fulminant myocarditis  associated with coronavirus  who apparently responded to glucocorticoids and human immunoglobulin  (see   covid   myocarditis eurjcard2020   in   dropbox , or doi:10.1093/ eurheartj /ehaa190). Case: -- 37-year-old male admitted to the hospital with chest pain and dyspnea for 3 days, and diarrhea. -- Blood pressure 80/50 -- Troponin-T was >10,000 ng/L; CK-MB 112.9 ng/L;  BNP ...