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一名大学运动员的COVID心肌炎:时间表和回归比赛
Katherine M Edenfield1, Michael C Dillon2, James R Clugston1
1University of Florida, Community Health and Family Medicine, Gainesville, FL, United States of America.
概括
运动员的COVID后心肌炎可能会产生持久的影响. 重复的心脏MRI显示持续的炎症和纤维化,在一个案例中延迟了9个月的回归.
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:
- 心脏参与影响0.5-3%的大学运动员在SARS-CoV-2感染后.
- 对于运动员来说,COVID-19心肌炎后的长期后果和最佳回归 (RTP) 时间表仍然不清楚.
研究的目的:
- 为了调查在SARS-CoV-2感染后被诊断患有急性心肌炎的大学运动员的心脏恢复和RTP时间表.
主要方法:
- 一名患有SARS-CoV-2的大学运动员接受了连续的心脏评估,包括心电图,心声图和连续心磁共振 (CMR) 影像.
- 在诊断时,感染后3.5个月和6.5个月进行CMR,以评估活跃的炎症和纤维化.
- 回归比赛的决定是基于连续的心脏评估和临床康复.
主要成果:
- 最初的心脏查显示了高的托罗-I和心电图变化,CMR符合急性心肌炎的路易斯湖标准.
- 在3.5个月重复的CMR显示持续活跃的炎症,在6.5个月,显示残留心脏纤维化.
- 这位运动员在最初诊断9个月后恢复了竞争,在炎症和纤维化症的解决之后.
结论:
- 序列CMR成像可能有价值在评估炎症的解决方案和纤维化在运动员后心肌炎的存在.
- 在急性炎症消失后,心脏纤维化可能会持续,这引发了关于长期影响和RTP协议的问题.
- 这一案例突出了延长的康复和RTP时间表,强调需要对患有后COVID心肌炎的运动员进行个性化评估.
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