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COVID-19: the Risk to Athletes
Jack Goergen1, Aakash Bavishi1, Micah Eimer1
1Feinberg School of Medicine, Northwestern Memorial Hospital, 259 E Erie Street Suite 2200, Chicago, IL 60614 USA.
Current Treatment Options in Cardiovascular Medicine
|October 25, 2021
Summary
COVID-19 can cause myocarditis, but recent studies show a low risk in young athletes. A screening approach based on infection severity and symptoms enables most athletes to safely return to play.
Area of Science:
- Cardiology
- Sports Medicine
- Infectious Diseases
Background:
- The COVID-19 pandemic raised concerns about athlete safety, particularly regarding cardiovascular risks like myocarditis.
- Sudden death and arrhythmias in athletes became a focus, necessitating a review of cardiovascular screening protocols.
Purpose of the Study:
- To outline cardiovascular manifestations of COVID-19.
- To discuss screening, diagnosis, and treatment strategies for infected athletes.
- To evaluate literature on return-to-play decisions for athletes post-COVID-19.
Main Methods:
- Comprehensive literature review.
- Analysis of studies on COVID-19's cardiovascular effects in athletes.
- Evaluation of current return-to-play guidelines.
Main Results:
- COVID-19 can cause myocarditis, from subclinical cases to severe heart failure.
- Initial concerns about high myocarditis risk in non-severe COVID-19 have been tempered by recent data.
- Young athletes show a very low prevalence of clinically significant myocarditis.
Conclusions:
- A tailored screening approach based on COVID-19 severity and symptoms allows safe return-to-play for most athletes.
- Continued adaptation of screening protocols is necessary as knowledge evolves.
- Further research is needed on the long-term cardiovascular impact of COVID-19.
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