---
title: "Fulminant Myocarditis After COVID-19 in a 35-Year-Old Woman: Case Report and Clinical Lessons"
id: "pubmed-42735205"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42735205"
content_type: "clinical_feed_article"
specialty: "Critical Care"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42735205/"
doi: "10.12659/AJCR.953506"
published_at: "2026-09-14T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Fulminant Myocarditis After COVID-19 in a 35-Year-Old Woman: Case Report and Clinical Lessons
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42735205
- **Specialty:** [Critical Care](https://medichelpline.com/clinical-feed/critical-care.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42735205/)
- **DOI:** [10.12659/AJCR.953506](https://doi.org/10.12659%2FAJCR.953506)
- **Published At:** 2026-09-14T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- A previously healthy 35-year-old woman developed **fulminant myocarditis** after acute SARS-CoV-2 infection, presenting on day 4 of symptoms with progressive dyspnea, severe chest pain, and cardiogenic shock. - She had completed a 2-dose primary series of the Sinovac COVID-19 vaccine prior to illness. - Initial workup showed marked elevation of **cardiac biomarkers** and electrocardiographic abnormalities; coronary angiography excluded acute coronary occlusion. - Echocardiographic findings and the hyperacute clinical course supported a diagnosis of probable **COVID-19–associated myocarditis**. - After transient hemodynamic improvement with inotropic support, the patient experienced rapid electrical deterioration 17 hours after admission, developing polymorphic ventricular tachycardia with a sine-wave–like QRS that progressed to refractory ventricular fibrillation, cardiac arrest, and death. - The report underscores that fulminant myocarditis is rare but can cause sudden hemodynamic collapse and malignant arrhythmias even in previously healthy adults. - Early recognition using cardiac biomarkers and **echocardiography**, plus rapid escalation to aggressive supportive care, is emphasized as essential to inform acute clinical decision-making and potentially improve outcomes. - The case is classified as a fatal outcome and highlights the need for heightened vigilance for severe cardiovascular complications in COVID-19 patients.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Faculty of Medicine, Petre Shotadze Tbilisi Medical Academy (TMA), Tbilisi, Georgia. * 2 Therapy Department, Simon Khechinashvili University Clinic, Tbilisi, Georgia. * PMID: **42735205** * DOI: [ 10.12659/AJCR.953506 ](https://doi.org/10.12659/ajcr.953506) Item in Clipboard Case Reports # A 35-Year-Old Woman Presenting With Life-Threatening Fulminant Myocarditis After COVID-19: A Case Report Darejan Mdinaradze et al. Am J Case Rep. 2026. Show details Display options Display options Format Abstract PubMed PMID Am J Case Rep Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Am+J+Case+Rep%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Am+J+Case+Rep%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42735205/) . 2026 Sep 14:27:e953506. doi: 10.12659/AJCR.953506. ### Authors [Darejan Mdinaradze](https://pubmed.ncbi.nlm.nih.gov/?term=Mdinaradze+D&cauthor_id=42735205)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42735205/#short-view-affiliation-1 "Faculty of Medicine, Petre Shotadze Tbilisi Medical Academy \(TMA\), Tbilisi, Georgia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42735205/#short-view-affiliation-2 "Therapy Department, Simon Khechinashvili University Clinic, Tbilisi, Georgia."), [Ia Barabadze](https://pubmed.ncbi.nlm.nih.gov/?term=Barabadze+I&cauthor_id=42735205)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42735205/#short-view-affiliation-1 "Faculty of Medicine, Petre Shotadze Tbilisi Medical Academy \(TMA\), Tbilisi, Georgia."), [Nikoloz Natsvlishvili](https://pubmed.ncbi.nlm.nih.gov/?term=Natsvlishvili+N&cauthor_id=42735205)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42735205/#short-view-affiliation-1 "Faculty of Medicine, Petre Shotadze Tbilisi Medical Academy \(TMA\), Tbilisi, Georgia.") ### Affiliations * 1 Faculty of Medicine, Petre Shotadze Tbilisi Medical Academy (TMA), Tbilisi, Georgia. * 2 Therapy Department, Simon Khechinashvili University Clinic, Tbilisi, Georgia. * PMID: **42735205** * DOI: [ 10.12659/AJCR.953506 ](https://doi.org/10.12659/ajcr.953506) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract BACKGROUND Fulminant myocarditis is a rare but severe and life-threatening cardiovascular complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Its sudden onset can result in severe heart failure, even in previously healthy adults. This report describes the case of a 35-year-old woman who presented with life-threatening fulminant myocarditis after coronavirus disease 2019 (COVID-19). CASE REPORT A 35-year-old previously healthy woman presented to the emergency department on the fourth day of acute constitutional symptoms with progressive dyspnea, severe chest pain, and cardiogenic shock. She had previously received a 2-dose primary series of the Sinovac COVID-19 vaccine. Initial evaluation showed pronounced elevation of cardiac biomarkers along with electrocardiographic abnormalities. Coronary angiography promptly excluded acute coronary occlusion. Following transient hemodynamic improvement with inotropic support, the patient developed rapid electrical deterioration 17 hours after admission, which manifested as polymorphic ventricular tachycardia characterized by a sine-wave-like QRS pattern that progressed to refractory ventricular fibrillation, cardiac arrest, and death. Echocardiographic findings, along with the hyperacute clinical course, were consistent with a diagnosis of probable fulminant COVID-19-associated myocarditis. CONCLUSIONS Fulminant myocarditis remains a rare but potentially fatal complication of SARS-CoV-2 infection, capable of causing rapid hemodynamic collapse and malignant electrical instability even in previously healthy individuals. Early recognition, supported by cardiac biomarkers and echocardiographic assessment, is essential to facilitate the timely initiation of aggressive supportive care and may improve clinical decision-making in acute settings. 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