Toward Better Understanding of Cardiac Involvement Post COVID

Article Cardiac & Cardiovascular Systems

Myocardial Injury on CMR in Patients With COVID-19 and Suspected Cardiac Involvement

Mahesh K. Vidula et al.

Summary: This study investigated myocardial injury in COVID-19 patients using cardiac magnetic resonance (CMR) and found that approximately 20.9% of patients had myocardial injury, which can be classified into different patterns. The presence of chest discomfort, abnormal electrocardiogram (ECG), elevated natriuretic peptide, and troponin levels were associated with specific patterns of myocardial injury.

JACC-CARDIOVASCULAR IMAGING (2023)

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Article Cardiac & Cardiovascular Systems

2022 ACC Expert Consensus Decision Pathway on Cardiovascular Sequelae of COVID-19 in Adults: Myocarditis and Other Myocardial Involvement, Post-Acute Sequelae of SARS-CoV-2 Infection, and Return to Play A Report of the American College of Cardiology Solution Set Oversight Committee

Ty J. Gluckman et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2022)

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Article Biochemistry & Molecular Biology

Long-term cardiac pathology in individuals with mild initial COVID-19 illness

Valentina O. Puntmann et al.

Summary: Cardiac symptoms are a common late complication of COVID-19 infection in previously healthy individuals. Ongoing inflammatory cardiac involvement may explain the persistence of these symptoms, and magnetic resonance imaging and measurement of cardiac injury biomarkers can assist in detecting this inflammation.

NATURE MEDICINE (2022)

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Article Cardiac & Cardiovascular Systems

Patterns ofmyocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance

Tushar Kotecha et al.

Summary: Troponin elevation is common in hospitalized COVID-19 patients, and recovered patients can exhibit myocarditis-like injury and ischemic heart disease, with possible ongoing localized inflammation. However, there is no evidence of diffuse fibrosis or edema in the remote myocardium.

EUROPEAN HEART JOURNAL (2021)

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Article Cardiac & Cardiovascular Systems

Prevalence of Clinical and Subclinical Myocarditis in Competitive Athletes With Recent SARS-CoV-2 Infection Results From the Big Ten COVID-19 Cardiac Registry

Curt J. Daniels et al.

Summary: In this study of 1597 competitive athletes in the US who underwent CMR screening after COVID-19 infection, 37 athletes (2.3%) were diagnosed with clinical and subclinical myocarditis. There was variability in prevalence across universities, and testing protocols were closely associated with the detection of myocarditis. The unique CMR imaging data highlight the need for standardized timing and interpretation of cardiac testing for safe return to play in athletes.

JAMA CARDIOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance

Tushar Kotecha et al.

Summary: Troponin elevation is common in hospitalized COVID-19 patients, indicating potential myocardial injury. Using multi-parametric cardiovascular magnetic resonance, researchers found that recovered COVID-19 patients often exhibit myocarditis-like injury and ischemic damage. Interestingly, some patients showed signs of localized inflammation, while others had ischemic heart disease without prior history.

EUROPEAN HEART JOURNAL (2021)

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Editorial Material Cardiac & Cardiovascular Systems

CMR in Nonischemic Myocardial Inflammation Solving the Problem of Diagnosing Myocarditis or Still Diagnostic Ambiguity?

Eike Nagel et al.

JACC-CARDIOVASCULAR IMAGING (2020)

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Toward Better Understanding of Cardiac Involvement Post COVID

Related references

Myocardial Injury on CMR in Patients With COVID-19 and Suspected Cardiac Involvement

2022 ACC Expert Consensus Decision Pathway on Cardiovascular Sequelae of COVID-19 in Adults: Myocarditis and Other Myocardial Involvement, Post-Acute Sequelae of SARS-CoV-2 Infection, and Return to Play A Report of the American College of Cardiology Solution Set Oversight Committee

Long-term cardiac pathology in individuals with mild initial COVID-19 illness

Patterns ofmyocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance

Prevalence of Clinical and Subclinical Myocarditis in Competitive Athletes With Recent SARS-CoV-2 Infection Results From the Big Ten COVID-19 Cardiac Registry

Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance

CMR in Nonischemic Myocardial Inflammation Solving the Problem of Diagnosing Myocarditis or Still Diagnostic Ambiguity?

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