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Image Timing After COVID-19 Infection in Athletes.

Scott Meester1, Brenden J Balcik1, Nicholas Chill1

  • 1Department of Emergency Medicine, School of Medicine, West Virginia University, Morgantown, West Virginia.

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|November 20, 2023
PubMed
Summary
This summary is machine-generated.

Timing of cardiac imaging after COVID-19 infection in athletes does not impact abnormality detection. Further research is needed to understand prolonged cardiac effects in these athletes.

Keywords:
COVID-19cardiovascular physiologyimaging diagnostic ultrasoundmagnetic resonance imagingmedical aspects of sports

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Area of Science:

  • Cardiology
  • Sports Medicine
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) has impacted National Collegiate Athletic Association (NCAA) athletics, raising concerns about cardiac involvement.
  • Pericardial abnormalities affect up to 39.5% of infected athletes, while myocardial involvement is less common (2.7%).
  • Myocardial injury rates range from 0.6% to 3.0% in athletes post-COVID-19, depending on screening methods.

Purpose of the Study:

  • To determine if an optimal time exists between COVID-19 diagnosis and cardiac imaging for detecting abnormalities in athletes.
  • To investigate the relationship between the timing of imaging and the likelihood of identifying cardiac issues post-infection.

Main Methods:

  • A prospective cohort study involving NCAA athletes diagnosed with COVID-19 at West Virginia University.
  • Athletes underwent electrocardiography (ECG) and cardiac magnetic resonance (CMR) imaging.
  • Statistical analysis, including logistic regression, evaluated the correlation between imaging timing and abnormality detection.

Main Results:

  • 41 athletes were included, with ECG performed at 18.2 days and CMR at 27.5 days post-diagnosis on average.
  • No significant difference was found in the timing of COVID-19 diagnosis and the detection of cardiac abnormalities on ECG or CMR.
  • Cardiac magnetic resonance imaging revealed changes as late as 54 days post-infection, indicating potential for delayed findings.

Conclusions:

  • Imaging timing appears independent of cardiac involvement detection in athletes following COVID-19 infection.
  • Cardiac abnormalities can manifest months after infection, necessitating further investigation into prolonged cardiac effects.
  • Current imaging protocols do not show a strong time-dependent relationship for abnormality detection post-COVID-19.