Imaging Findings of COVID-19-Related Cardiovascular Complications

Eleni Nakou1, Estefania De Garate2, Kate Liang2

  • 1CMR Unit, Royal Brompton and Harefield Hospitals, Guys and St Thomas NHS Foundation Trust, Sydney Street, London, SW3 6NP, UK.

Insights

Coronavirus disease 2019 (COVID-19) frequently causes heart problems, increasing mortality risk. Advanced cardiac imaging aids in diagnosing myocardial injury and stratifying risk in COVID-19 patients.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Coronavirus disease 2019 (COVID-19) presents with significant cardiovascular manifestations beyond respiratory symptoms.
  • These cardiac issues are critical predictors of mortality in affected individuals.
  • Clinical presentations range from asymptomatic cardiac findings to severe conditions like cardiogenic shock and sudden cardiac death.

Purpose of the Study:

  • To highlight the role of advanced cardiac imaging in managing COVID-19 patients.
  • To explore the diagnostic and risk stratification capabilities of imaging in COVID-19 related myocardial injury.
  • To assess the utility of imaging in identifying cardiac side effects of COVID-19 treatments and vaccines.

Main Methods:

  • Review of clinical presentations and outcomes in COVID-19 patients with cardiovascular involvement.
  • Application of advanced cardiac imaging modalities (e.g., echocardiography, cardiac MRI, CT) for diagnosis.
  • Correlation of imaging findings with clinical severity, mortality, and treatment/vaccine effects.

Main Results:

  • Cardiovascular manifestations are common in COVID-19 and associated with higher mortality.
  • Advanced imaging effectively detects diverse patterns of myocardial injury.
  • Imaging aids in risk stratification and monitoring potential iatrogenic cardiac effects.

Conclusions:

  • Advanced cardiac imaging is crucial for comprehensive care of COVID-19 patients.
  • It enables early diagnosis, risk assessment, and management of cardiac complications.
  • Imaging is vital for understanding the cardiac impact of COVID-19, its treatments, and vaccines.

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