1LotteryPick1969
Postdoc
Posts: 2275
Age: 73
Loc: Sandy, Utah
Reg: 11-21-04
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03-10-21 09:41 AM - Post#321680
In response to rbg
Another study in JACC Imaging:
The investigators performed screening echocardiograms in 54 consecutive student athletes (mean age, 19 years; 85% male) who had positive results of reverse transcription polymerase chain reaction nasal swab testing of the upper respiratory tract or immunoglobulin G antibodies against severe acute respiratory syndrome coronavirus type 2. Sequential cardiac magnetic resonance imaging (CMR) was performed in 48 (89%) subjects. Comparisons of continuous variables of demographics, echocardiography, and CMR among different groups (i.e., control subjects, symptomatic COVID-19–positive student athletes, and asymptomatic COVID-19–positive student athletes) were performed using either the Kruskal-Wallis test with Dunn-Bonferroni correction or the Mann-Whitney U test.
Results:
A total of 16 (30%) athletes were asymptomatic, whereas 36 (66%) and two (4%) athletes reported mild and moderate COVID-19–related symptoms, respectively. For the 48 athletes completing both imaging studies, abnormal findings were identified in 27 (56.3%) individuals. This included 19 (39.5%) athletes with pericardial late enhancements with associated pericardial effusion. Of the individuals with pericardial enhancements, six (12.5%) had reduced global longitudinal strain and/or an increased native T1. One patient showed myocardial enhancement and reduced left ventricular ejection fraction or reduced global longitudinal strain with or without increased native T1 values was also identified in an additional seven (14.6%) individuals. Native T2 findings were normal in all subjects, and no specific imaging features of myocardial inflammation were identified. Hierarchical clustering of left ventricular regional strain identified three unique myopericardial phenotypes that showed significant association with the CMR findings (p = 0.03).
Conclusions:
The authors concluded that more than one in three previously healthy college athletes recovering from COVID-19 infection showed imaging features of a resolving pericardial inflammation.
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