Utilization of Cardiovascular Magnetic Resonance Imaging for Resumption of Athletic Activities Following COVID-19 Infection: An Expert Consensus Document on Behalf of the American Heart Association Council on Cardiovascular Radiology and Intervention Leadership and Endorsed by the Society for Cardiovascular Magnetic Resonance.

Details

Serval ID
serval:BIB_95D2DDE4E085
Type
Article: article from journal or magazin.
Collection
Publications
Title
Utilization of Cardiovascular Magnetic Resonance Imaging for Resumption of Athletic Activities Following COVID-19 Infection: An Expert Consensus Document on Behalf of the American Heart Association Council on Cardiovascular Radiology and Intervention Leadership and Endorsed by the Society for Cardiovascular Magnetic Resonance.
Journal
Circulation. Cardiovascular imaging
Author(s)
Ruberg F.L., Baggish A.L., Hays A.G., Jerosch-Herold M., Kim J., Ordovas K.G., Reddy G., Shenoy C., Weinsaft J.W., Woodard P.K.
ISSN
1942-0080 (Electronic)
ISSN-L
1941-9651
Publication state
Published
Issued date
01/2023
Peer-reviewed
Oui
Volume
16
Number
1
Pages
e014106
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The global pandemic of COVID-19 caused by infection with SARS-CoV-2 is now entering its fourth year with little evidence of abatement. As of December 2022, the World Health Organization Coronavirus (COVID-19) Dashboard reported 643 million cumulative confirmed cases of COVID-19 worldwide and 98 million in the United States alone as the country with the highest number of cases. Although pneumonia with lung injury has been the manifestation of COVID-19 principally responsible for morbidity and mortality, myocardial inflammation and systolic dysfunction though uncommon are well-recognized features that also associate with adverse prognosis. Given the broad swath of the population infected with COVID-19, the large number of affected professional, collegiate, and amateur athletes raises concern regarding the safe resumption of athletic activity (return to play) following resolution of infection. A variety of different testing combinations that leverage ECG, echocardiography, circulating cardiac biomarkers, and cardiovascular magnetic resonance imaging have been proposed and implemented to mitigate risk. Cardiovascular magnetic resonance in particular affords high sensitivity for myocarditis but has been employed and interpreted nonuniformly in the context of COVID-19 thereby raising uncertainty as to the generalizability and clinical relevance of findings with respect to return to play. This consensus document synthesizes available evidence to contextualize the appropriate utilization of cardiovascular magnetic resonance in the return to play assessment of athletes with prior COVID-19 infection to facilitate informed, evidence-based decisions, while identifying knowledge gaps that merit further investigation.
Keywords
Humans, United States/epidemiology, COVID-19, SARS-CoV-2, Consensus, American Heart Association, Leadership, Magnetic Resonance Imaging, Sports, Magnetic Resonance Spectroscopy, Radiology, athlete, magnetic resonance imaging, myocardial infarction, myocarditis
Pubmed
Web of science
Open Access
Yes
Create date
12/01/2023 16:55
Last modification date
21/02/2024 8:17
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