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Archives of Academic Emergency Medicine

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  3. Vol. 9 No. 1 (2021): Continuous volume
  4. Review Article

Vol. 9 No. 1 (2021)

January 2021

Corticosteroid Therapy in Management of Myocarditis Associated with COVID-19; a Systematic Review of Current Evidence

  • William Kamarullah
  • Nurcahyani Nurcahyani
  • Claudia Mary Josephine
  • Rachmatu Bill Multazam
  • Aqila Ghaezany Nawing

Archives of Academic Emergency Medicine, Vol. 9 No. 1 (2021), 1 January 2021 , Page e32
https://doi.org/10.22037/aaem.v9i1.1153 Published: 2021-04-16

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Abstract

Introduction: Myocarditis in patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) seems to be associated with a higher mortality rate. This study aims to summarize the latest evidence on whether the use of corticosteroids in patients with myocarditis associated with COVID-19 is necessary.

Methods: We performed an extensive search using a combination of search terms in PubMed, Europe PMC, ProQuest, EBSCOhost, and Google Scholar up to January 2021. Full-text articles that met the predefined inclusion criteria were included in the present study.

Results: The full-texts of 18 articles have been reviewed. Thirteen out of the eighteen (72%) patients who got corticosteroid administration experienced major clinical improvements during follow-up while the other five (28%) were experiencing uneventful events. The mean age of the reported patients was 47.8±13.2 years. There was no gender predominance. Most of the reported cases were from USA (39%) followed by Spain, China, and UK (11% each), while Brazil, Colombia, France, Belgium, and Italy contributed one case each. Various corticosteroids were used but the most commonly applied were methylprednisolone (89%), hydrocortisone (5.5%), and prednisolone (5.5%). The most common route of administration among the studies was intravenous administration and the duration of treatment varied between one and fourteen days.

Conclusion: A review of the currently available literature shows that with the use of corticosteroid agents in treating myocarditis associated with COVID-19, favorable outcomes are attainable. Well-established randomized clinical trials are needed to evaluate the efficacy and safety of using corticosteroids in this condition.

Keywords:
  • COVID-19
  • myocarditis
  • adrenal cortex hormones
  • drug therapy
  • pdf

How to Cite

1.
Kamarullah W, Nurcahyani N, Josephine CM, Multazam RB, Ghaezany Nawing A. Corticosteroid Therapy in Management of Myocarditis Associated with COVID-19; a Systematic Review of Current Evidence. Arch Acad Emerg Med [Internet]. 2021 Apr. 16 [cited 2025 May 16];9(1):e32. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1153
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