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Cardiac magnetic resonance findings in coronavirus disease 2019

Nahid Rezaeian1, Leila Hosseini1,2, Sanaz Asadian1

  • 1Rajaie Cardiovascular Medical and Research Center Iran University of Medical Sciences Tehran Iran.

Clinical Case Reports
|April 6, 2021
PubMed

Insights

Certain COVID-19 patients show heart inflammation and potential myocardial infarction, even with normal coronary arteries. This finding highlights specific cardiac risks associated with the virus.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Coronaviruses, including SARS-CoV-2, can affect multiple organ systems.
  • Cardiac complications are increasingly recognized in COVID-19 patients.
  • Myocardial inflammation (myocarditis) is a known cardiac manifestation of viral infections.

Observation:

  • A specific cohort of COVID-19 patients underwent cardiac magnetic resonance imaging (CMR).
  • These patients displayed evidence of myocardial inflammation on CMR.
  • Epicardial coronary arteries were assessed and found to be normal in this subgroup.

Findings:

  • Subendocardial fibrosis was observed in the affected patients.
  • This pattern of fibrosis is consistent with myocardial infarction (heart attack).
  • The presence of fibrosis despite normal coronary arteries suggests non-atherosclerotic causes.

Implications:

  • COVID-19 can lead to myocardial infarction through mechanisms independent of epicardial coronary artery disease.
  • Cardiac MRI is crucial for diagnosing myocardial inflammation and fibrosis in COVID-19.
  • Understanding these cardiac manifestations is vital for patient management and prognosis.

Keywords:
COVID‐19Cardiovascular disorders

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