Yes you read that right. Monkeypox vaccine induced myocarditis. Here is what happened.
Recently, a 37 year old male, HIV+, presented with chest pain, troponin 13, abnormal right coronary artery ventricular wall motion, CMR (cardiac magnetic resonance imaging) showing LGE (late gadolinium enhancement) + abnormal T1 (longitudinal relaxation time constant) near basal IL (inferior lateral) wall, 3 days after first monkey pox vaccine dose.
Here is a key for a better understanding:
Troponin-A cardiac enzyme found in the blood in very small amounts. That said, a normal troponin level is 0-0.04 ng/dl. However, if elevated, can indicate cardiac tissue death which makes this an excellent lab tests to help identify suspected heart attacks (myocardial infarction).
Abnormal right coronary artery ventricular wall motion- During an echocardiogram (live imaging of the heart), abnormal right coronary artery ventricular wall motion is strongly associated with myocarditis + ischemic heart disease, and remains a strong clinical indicator of sudden cardiac death.
Cardiac Magnetic Resonance Imaging (CMR)- AKA MRI, is a machine that uses powerful magnetics to take very detailed images of different body parts. In the case of this publication, CMR related to the heart.
Late gadolinium enhancement (LGE)- This is a technique used to identify tissue damage on cardiac resonance imaging AKA MRIs. To explain, gadolinium is a medium used to enhance imaging. Therefore, delayed enhancement of gadolinium typically occurs in damaged tissue. So, if LGE is observed in cardiac tissue, it can be a sign of cardiac tissue dysfunction or death.
Longitudinal relaxation time constant T1- T1 mapping on CMR AKA MRI along with LGE is another indicator of diffuse fibrosis or damaged cardiac tissue. Essentially, T1 is longitudinal relaxation time of tissue with a map, or visual guide, to illustrate the health of inter and intracellular areas which can be affected by changes in collagen, protein, edema, lipids and iron content.
Basal inferolateral (basil IL)- The area of affected heart tissue.
LETS CONNECT:
Wow! This is great reporting. vaccines are always a danger for viral reactivation, herpes EBV with Sars-Cov-2 and karposi herpes with HIV.