Why the study?
Cardiovascular imaging should be limited during the COVID-19 pandemic, yet elevated troponin frequently prompts imaging requests due to varied causes and worse prognosis.
How should cardiovascular imaging be appropriately utilized in hospitalized COVID-19 patients with elevated troponin to decipher the mechanism of myocardial injury and guide management?
How should cardiovascular imaging be appropriately utilized in hospitalized COVID-19 patients with elevated troponin to decipher the mechanism of myocardial injury and guide management?
This paper provides clinical guidance on the appropriate use of cardiovascular imaging in hospitalized COVID-19 patients with elevated troponin, balancing diagnostic needs with infection control.
Guides selective imaging to identify treatable injury while minimizing exposure; extends prior consensus to COVID-19-specific scenarios.
Recent EACVI recommendations described the importance of limiting cardiovascular imaging during the COVID-19 pandemic in order to reduce virus transmission, protect healthcare professionals from contamination, and reduce consumption of personal protective equipment. However, an elevated troponin remains a frequent request for cardiac imaging in COVID-19 patients, partly because it signifies cardiac injury due to a variety of causes and partly because it is known to convey a worse prognosis. The present paper aims to provide guidance to clinicians regarding the appropriateness of cardiac imaging in the context of troponin elevation and myocardial injury, how best to decipher the mechanism of myocardial injury, and how to guide patient management.
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Cosyns et al. (2020) conducted a review in COVID-19 with myocardial injury. Cardiovascular imaging was evaluated. This paper provides guidance to clinicians regarding the appropriateness of cardiac imaging in hospitalized COVID-19 patients with troponin elevation and myocardial injury.
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