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Updated: Sep 27, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
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.
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.
Abstract:
Cardiovascular involvement following COVID-19 is heterogeneous, prevalent and is often missed by echocardiography and serum biomarkers (such as troponin I and brain natriuretic peptide). Cardiac magnetic resonance (CMR) is the gold standard non-invasive imaging modality to phenotype unique populations after COVID-19, such as competitive athletes with a heightened risk of sudden cardiac death, patients with multisystem inflammatory syndrome, and people suspected of having COVID-19 vaccine-induced myocarditis. This review summarises the key attributes of CMR, reviews the literature that has emerged for using CMR for people who may have COVID-19-related complications after COVID-19, and offers expert opinion regarding future avenues of investigation and the importance of reporting findings.
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