Cardiac Magnetic Resonance in the Evaluation of COVID-19

Daniel E Clark1, Sachin K Aggarwal2, Neil J Phillips3

  • 1Division of Cardiovascular Medicine, Department of Internal Medicine, Vanderbilt University Medical Centre Nashville, TN, US.

Cardiac Failure Review
|April 11, 2022
PubMed

Insights

Cardiac magnetic resonance (CMR) is crucial for detecting COVID-19 heart complications missed by other tests. It helps identify risks in athletes and vaccine-related myocarditis, guiding future research.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • COVID-19 can cause diverse cardiovascular issues often undetected by echocardiography or biomarkers.
  • Specific populations like athletes and those with inflammatory syndromes are at higher risk.

Purpose of the Study:

  • To review the role of Cardiac Magnetic Resonance (CMR) in diagnosing post-COVID-19 cardiovascular complications.
  • To highlight CMR's utility in high-risk groups and vaccine-induced myocarditis.
  • To provide expert opinion on future research directions.

Main Methods:

  • Literature review of studies utilizing CMR for COVID-19 cardiovascular complications.
  • Analysis of CMR's diagnostic capabilities compared to standard methods.
  • Expert consensus on CMR's application and reporting.

Main Results:

  • CMR is superior to echocardiography and biomarkers in detecting subtle cardiac changes post-COVID-19.
  • CMR effectively characterizes cardiac involvement in athletes, inflammatory syndromes, and vaccine-related myocarditis.
  • Existing literature demonstrates CMR's value in identifying at-risk individuals.

Conclusions:

  • Cardiac magnetic resonance is the gold standard for non-invasive assessment of cardiovascular complications after COVID-19.
  • CMR imaging is essential for managing specific patient groups and understanding vaccine-related myocarditis.
  • Standardized reporting and further research are vital for optimizing CMR's role.

Related Concept Videos

Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
146
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
81
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
34
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
307
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
40
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
94