MERS Study Alhogbani (2016)N = 1 confirmed caseCase report Almekhlafi et al (2016)N = 31, confirmed casesRetrospective study Garout et al (2018)N = 52, confirmed casesRetrospective study Clinical features CHF ↑HR (67.7%) Pericarditis Key findings on investigations • ↑ TnI • ↑ BNP • ↑ Creatinine • Echo: Severe global LV dysfunction • Cardiac MRI: Myocarditis N/A N/A Key study findings and message MERS-CoV may cause myocarditis and acute heart failure • Vasopressor need is a risk factor for death (P = 0.04) • 80.6% vasopressor support rate No association of ECMO need with outcomes