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Prevalence of cardiac involvement in home-based recovered coronavirus disease 2019 (COVID-19) patients: a

Özge Çakmak Karaaslan1, Murat Oğuz Özilhan2, Orhan Maden2

  • 1Department of Cardiology, Cardiology Clinic, Ankara City Hospital, Ankara, Turkey. ozgecakmak2323@gmail.com.

Irish Journal of Medical Science
|October 29, 2021
PubMed

Insights

Many COVID-19 survivors experience cardiac involvement, even with mild symptoms. Cardiovascular magnetic resonance imaging revealed significant heart abnormalities in 71% of patients, indicating widespread issues.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • COVID-19 is linked to cardiac complications like myocarditis and heart failure.
  • Limited data exists on cardiovascular effects in mild, home-recovered COVID-19 patients.

Purpose of the Study:

  • To assess cardiac involvement prevalence in recovered COVID-19 patients with mild symptoms.
  • To identify factors associated with cardiac involvement post-COVID-19.

Main Methods:

  • 64 patients with cardiac symptoms post-COVID-19 were analyzed.
  • Cardiovascular magnetic resonance (CMR) imaging was used to evaluate cardiac involvement.
  • Patients were categorized based on CMR findings.

Main Results:

  • 71% (46/64) of patients showed abnormal CMR findings (myocardial/pericardial enhancement).
  • Cardiac involvement was independent of age and comorbidities.
  • Patients with cardiac involvement had higher C-reactive protein and lower ejection fraction/stroke volume.

Conclusions:

  • Significant cardiac involvement occurs in COVID-19 survivors, even with mild initial symptoms.
  • Widespread cardiac issues may be present without elevated troponin or severe clinical presentation.
Abstract

Keywords:
COVID-19Cardiac involvementCardiac magnetic resonanceMyocardial damage

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