Key result
Advanced cardiac imaging, particularly cardiac magnetic resonance, and cardiopulmonary exercise testing are valuable tools for diagnosing and evaluating persistent cardiovascular conditions after SARS-CoV-2 infection.
Why the study?
Chronic cardiovascular conditions persisting beyond acute SARS-CoV-2 infection are less well studied compared to acute complications, necessitating evaluation of advanced imaging and functional testing.
Advanced cardiac imaging, particularly CMR, combined with cardiopulmonary exercise testing, provides a comprehensive approach to diagnosing and understanding the mechanisms of post-acute cardiovascular sequelae of COVID-19.
May support imaging and CPET for post-COVID CV evaluation; leaves open prospective validation before routine adoption.
Purpose of Review To evaluate the potential role of advanced cardiac imaging and cardiopulmonary exercise testing in the diagnosis and evaluation of persistent cardiovascular conditions after SARS-CoV-2 infection. Recent Findings SARS-COV-2 has shown an overwhelming capacity to attack multiple organs, with the respiratory system being the most frequently involved. However, various cardiovascular complications have been reported during the course of the disease, becoming one of the most important causes of morbidity and mortality. Many articles have addressed the acute cardiovascular complications of SARS-CoV-2; however, chronic cardiovascular conditions that persist beyond acute infection are less well studied. Echocardiography has a role during the initial approach, but advanced cardiac images such as cardiac magnetic resonance and cardiac CT can be required since a normal echo finding does not exclude cardiovascular involvement. Cardiopulmonary exercise testing has proven to be a highly valuable tool in cases where the symptoms persist besides normal advanced images. Summary The present review includes the most relevant articles regarding the use of cardiac imaging and cardiopulmonary exercise testing in the evaluation of chronic cardiovascular manifestations of COVID-19.
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Rodríguez et al. (2023) conducted a review in Post-acute cardiovascular sequelae of COVID-19 (PASC). Cardiac imaging and cardiopulmonary exercise testing was evaluated. Advanced cardiac imaging, particularly cardiac magnetic resonance, and cardiopulmonary exercise testing are valuable tools for diagnosing and evaluating persistent cardiovascular conditions after SARS-CoV-2 infection.
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