Contemporary use of cardiac imaging for COVID-19 patients: a three center experience defining a potential role for cardiac MRI.


Journal

The international journal of cardiovascular imaging
ISSN: 1875-8312
Titre abrégé: Int J Cardiovasc Imaging
Pays: United States
ID NLM: 100969716

Informations de publication

Date de publication:
May 2021
Historique:
received: 23 09 2020
accepted: 17 12 2020
pubmed: 10 2 2021
medline: 25 5 2021
entrez: 9 2 2021
Statut: ppublish

Résumé

The pandemic of coronavirus disease 2019 (COVID-19) secondary to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has bestowed an unprecedented challenge upon us, resulting in an international public health emergency. COVID-19 has already resulted in > 1,600,000 deaths worldwide and the fear of a global economic collapse. SARS-CoV-2 is notorious for causing acute respiratory distress syndrome, however emerging literature suggests various dreaded cardiac manifestations associated with high mortality. The mechanism of myocardial damage in COVID-19 is unclear but thought to be multifactorial and mainly driven by the host's immune response (cytokine storm), hypoxemia and direct myocardial injury by the virus. Cardiac manifestations from COVID-19 include but are not limited to, acute myocardial injury, cardiac arrhythmias, congestive heart failure and acute coronary syndrome. Cardiac imaging is paramount to appropriately diagnose and manage the cardiac manifestations of COVID-19. Herein, we present cardiac imaging findings of COVID-19 patients with biomarker and imaging confirmed myocarditis to provide insight regarding the variable manifestations of COVID-19 myocarditis via Cardiac MRI (CMR) coupled with CMR-edema education along with recommendations on how to incorporate advanced CMR into the clinicians' COVID-19 armamentarium.

Identifiants

pubmed: 33559800
doi: 10.1007/s10554-020-02139-2
pii: 10.1007/s10554-020-02139-2
pmc: PMC7871025
doi:

Types de publication

Journal Article Multicenter Study Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1721-1733

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Auteurs

Ankur Panchal (A)

Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Andreas Kyvernitakis (A)

Cardiovascular Disease, Allegheny Health Network, Pittsburgh, PA, USA.

J Ronald Mikolich (JR)

Sharon Regional Medical Center, Sharon, PA, USA.

Robert W W Biederman (RWW)

Cardiovascular Disease, Allegheny Health Network, Pittsburgh, PA, USA. Robert.Biederman@ahn.org.

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