A Case Series of Diverse Cardiac Abnormalities in Collegiate Athlete with COVID-19: Role for Multimodality Imaging.
A Case Series of Diverse Cardiac Abnormalities in Collegiate Athlete with COVID-19: Role for Multimodality Imaging.
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DOI：
10.1155/2022/3259978
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发表时间：
2022
影响因子：
0.6
通讯作者：
Ade, Carl J.
中科院分区：
文献类型：
--
作者：
Turpin, Vanessa-Rose G.;Goerl, Kyle;Chow, Chen Hoe;Ade, Carl J.
自COVID-19大流行以来，人们担心大学运动员在缺乏临床症状的情况下会出现亚临床心脏病理学，我们介绍了4例左心室整体纵向应变（LVGLS）异常的病例，这是潜在COVID-19心肌疾病的“红旗”，诊断后通过多模态成像报告了不同的异常情况，直到恢复数周。 在COVID-19诊断后10天和恢复后数周进行了心脏成像研究，包括经胸超声心动图（TTE）和心血管磁共振成像（CMR）。 初始TTE显示左心室整体纵向应变（LVGLS）异常，这是潜在COVID-19心肌疾病的“红旗”。进一步的CMR成像显示1名运动员近期/既往可能患有心肌炎。几周后的随访TTE显示LVGLS恢复正常。相反，2例CMR成像正常的病例在恢复后30天仍有LVGLS异常。 这些个案凸显了确诊COVID-19的运动员之间超声心动图和CMR异常的实质性差异。
Since the COVID-19 pandemic there is concern for subclinical cardiac pathology in the absence of clinical symptoms in collegiate athletes, we present 4 cases of abnormal left ventricular global longitudinal strain (LVGLS), a “red-flag” for potential COVID-19 myocardial disease, following diagnosis with diverse abnormalities reported via multimodality imaging weeks into recovery. Cardiac imaging studies consisting of transthoracic echocardiography (TTE) and cardiovascular magnetic resonance imaging (CMR) were performed 10 days post-COVID-19 diagnosis and several weeks into recovery. Initial TTE revealed abnormal left ventricular global longitudinal strain (LVGLS), an identified “red-flag” for potential COVID-19 myocardial disease. Further CMR imaging revealed potential recent/prior myocarditis in 1 athlete. Follow-up TTE several weeks later revealed a return to normal LVGLS. Conversely, 2 cases with normal CMR imaging had a LVGLS that remained abnormal >30 days into recovery. These individual cases highlight the substantial differences in echocardiographic and CMR abnormalities between athletes with confirmed COVID-19.
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作者：
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DOI：
10.1016/j.jcmg.2021.04.011
发表时间：
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期刊：
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DOI：
10.1016/j.jcmg.2020.10.023
发表时间：
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期刊：
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