What question did this study set out to answer?

This study aims to explore the relationship between Covid-19 and cardiac involvement in elite athletes.

January 20, 2021Journal of Magnetic Resonance ImagingOpen Access

Cardiac involvement in consecutive elite athletes recovered from Covid‐19: A magnetic resonance study

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Why the study?

Reports of post-Covid-19 cardiac involvement raised concerns regarding the need for in-depth cardiac screening in athletes before return to play.

Population

26 consecutive elite athletes recovered from Covid-19

Design

Retrospective cohort study

Follow-up

Median of 32 days (IQR 22-62 days) from diagnosis

Authors

ŁMŁukasz A. MałekPreventive Cardiology MMMagdalena MarczakInstitute of Cardiology BMBarbara Miłosz‐WieczorekInstitute of Cardiology

Discussion

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Implication

Reassures low acute myocarditis risk in elite athletes post-COVID; leaves open clinical relevance of subtle MRI changes in larger prospective studies.

Key Points

This study aims to explore the relationship between Covid-19 and cardiac involvement in elite athletes.
Retrospective cohort study of 26 elite athletes (median age 24 years, 81% female).
Cardiac MR imaging performed 32 days after Covid-19 diagnosis using various advanced techniques.
Statistical analyses included Pearson correlation and Bland-Altman repeatability analysis.
No acute myocarditis detected in any athlete; normal troponin levels and electrocardiograms were present.
Cardiac abnormalities found in 5 (19%) athletes, including myocardial edema and nonischemic late gadolinium enhancement.
One athlete showed persistent lung congestion without cardiac involvement.

Structured PICO

Population

26 consecutive elite athletes (national team, Olympians, top national league players) recovered from Covid-19, median age 24 years, 81% female, mainly asymptomatic or mild course of the disease (77%).

Intervention

Cardiac magnetic resonance (CMR) imaging at 1.5 T including T1 and T2-mapping, dark-blood T2-weighted images, and late gadolinium enhancement (LGE).

Outcome

Diagnosis of acute myocarditis based on modified Lake Louise criteria and other cardiac abnormalities.surrogate

In elite athletes recovered from mostly mild or asymptomatic Covid-19, cardiac MR revealed no cases of acute myocarditis but showed mild cardiac abnormalities in 19% of individuals.

Limitations

small sample size

Cite This Study

Małek et al. (2021) studied this question.

synapsesocial.com/papers/6a484fdf436dc1b90e358174 https://doi.org/10.1002/jmri.27513

Topics

Cardiac MRI Myocarditis COVID-19 cardiovascular Sports cardiology

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Implication

Reassures low acute myocarditis risk in elite athletes post-COVID; leaves open clinical relevance of subtle MRI changes in larger prospective studies.

Cardiac involvement in consecutive elite athletes recovered from Covid‐19: A magnetic resonance study

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Topics

Cardiac involvement in consecutive elite athletes recovered from Covid‐19: A magnetic resonance study

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

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Topics

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