Cardiovascular Magnetic Resonance for Patients With COVID-19

COVID-19 is associated with myocardial injury caused by ischemia, inflammation, or myocarditis. Cardiovascular magnetic resonance (CMR) is the noninvasive reference standard for cardiac function, structure, and tissue composition. CMR is a potentially valuable diagnostic tool in patients with COVID-19 presenting with myocardial injury and evidence of cardiac dysfunction. Although COVID-19-related myocarditis is likely infrequent, COVID-19-related cardiovascular histopathology findings have been reported in up to 48% of patients, raising the concern for long-term myocardial injury. Studies to date report CMR abnormalities in 26% to 60% of hospitalized patients who have recovered from COVID-19, including functional impairment, myocardial tissue abnormalities, late gadolinium enhancement, or pericardial abnormalities. In athletes post-COVID-19, CMR has detected myocarditis-like abnormalities. In children, multisystem inflammatory syndrome may occur 2 to 6 weeks after infection; associated myocarditis and coronary artery aneurysms are evaluable by CMR. At this time, our understanding of COVID-19-related cardiovascular involvement is incomplete, and multiple studies are planned to evaluate patients with COVID-19 using CMR. In this review, we summarize existing studies of CMR for patients with COVID-19 and present ongoing research. We also provide recommendations for clinical use of CMR for patients with acute symptoms or who are recovering from COVID-19.

Friedrich, Matthias GMcGill University (författare)
Leiner, TimUniversity Medical Center Utrecht (författare)
Elias, Matthew DThe Children's Hospital of Philadelphia (författare)
Ferreira, Vanessa MUniversity of Oxford (författare)
Fenski, MaximilianHELIOS Klinikum Berlin-Buch (författare)
Flamm, Scott DUniversity of Pennsylvania (författare)
Fogel, MarkUniversity of Pennsylvania (författare)
Garg, RiaMcGill University (författare)
Halushka, Marc KJohns Hopkins University (författare)
Hays, Allison G (författare)
Kawel-Boehm, Nadine (författare)
Kramer, Christopher M (författare)
Nagel, Eike (författare)
Ntusi, Ntobeko A B (författare)
Ostenfeld, EllenLund University,Lunds universitet,Hjärt-MR-gruppen i Lund,Forskargrupper vid Lunds universitet,Lund Cardiac MR Group,Lund University Research Groups,Skåne University Hospital(Swepub:lu)medf-eos (författare)
Pennell, Dudley J (författare)
Raisi-Estabragh, Zahra (författare)
Reeder, Scott B (författare)
Rochitte, Carlos E (författare)
Starekova, Jitka (författare)
Suchá, Dominika (författare)
Tao, Qian (författare)
Schulz-Menger, Jeanette (författare)
Bluemke, David A (författare)
Queen Mary UniversityMcGill University (creator_code:org_t)

Ingår i:JACC: Cardiovascular Imaging: Elsevier BV15:4, s. 685-6991876-75911936-878X

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