在运动员感染COVID-19后的图像定时
Scott Meester1, Brenden J Balcik1, Nicholas Chill1
1Department of Emergency Medicine, School of Medicine, West Virginia University, Morgantown, West Virginia.
Sports health
|November 20, 2023
概括
运动员COVID-19感染后心脏成像的时间不会影响异常检测. 需要进一步的研究,以了解这些运动员的长期心脏影响.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 传染性疾病 传染性疾病
背景情况:
- 2019年新冠病毒病 (COVID-19) 已经影响了国家大学田径协会 (NCAA) 的田径运动,引发了人们对心脏参与的担忧.
- 周心异常影响高达39.5%的感染运动员,而心肌干扰较少 (2.7%).
- 肌心损伤率在COVID-19后的运动员中从0.6%到3.0%不等,这取决于查方法.
研究的目的:
- 确定COVID-19诊断和心脏成像之间是否存在最佳时间,以检测运动员的异常.
- 调查成像时间和感染后识别心脏问题的可能性之间的关系.
主要方法:
- 一项涉及西弗吉尼亚大学被诊断患有COVID-19的NCAA运动员的前性队列研究.
- 运动员接受了心电图 (ECG) 和心磁共振 (CMR) 成像.
- 包括后勤回归在内的统计分析评估了成像时间和异常检测之间的相关性.
主要成果:
- 包括41名运动员,平均在诊断后18.2天进行了心电图,在诊断后27.5天进行了CMR.
- 在COVID-19诊断的时间和在ECG或CMR上检测心脏异常时没有发现显著差异.
- 心脏磁共振成像显示了感染后54天的变化,这表明延迟发现的可能性.
结论:
- 图像定时似乎独立于在COVID-19感染后运动员的心脏参与检测.
- 心脏异常可能在感染后几个月表现出来,需要进一步调查心脏长期影响.
- 目前的成像协议没有显示出强烈的时间依赖关系,用于COVID-19后的异常检测.
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