Cardiovascular Magnetic Resonance for Patients With COVID-19

Steffen E. Petersen, Matthias G. Friedrich, Tim Leiner, Matthew D. Elias, Vanessa M. Ferreira, Maximilian Fenski, Scott D. Flamm, Mark Fogel, Qian Tao, More Authors

Research output: Contribution to journalReview articleScientificpeer-review

8 Citations (Scopus)

Abstract

COVID-19 is associated with myocardial injury caused by ischemia, inflammation, or myocarditis. Cardiovascular magnetic resonance (CMR) is the noninvasive reference standard for cardiac function, structure, and tissue composition. CMR is a potentially valuable diagnostic tool in patients with COVID-19 presenting with myocardial injury and evidence of cardiac dysfunction. Although COVID-19–related myocarditis is likely infrequent, COVID-19–related cardiovascular histopathology findings have been reported in up to 48% of patients, raising the concern for long-term myocardial injury. Studies to date report CMR abnormalities in 26% to 60% of hospitalized patients who have recovered from COVID-19, including functional impairment, myocardial tissue abnormalities, late gadolinium enhancement, or pericardial abnormalities. In athletes post–COVID-19, CMR has detected myocarditis-like abnormalities. In children, multisystem inflammatory syndrome may occur 2 to 6 weeks after infection; associated myocarditis and coronary artery aneurysms are evaluable by CMR. At this time, our understanding of COVID-19–related cardiovascular involvement is incomplete, and multiple studies are planned to evaluate patients with COVID-19 using CMR. In this review, we summarize existing studies of CMR for patients with COVID-19 and present ongoing research. We also provide recommendations for clinical use of CMR for patients with acute symptoms or who are recovering from COVID-19.

Original languageEnglish
Pages (from-to)685-699
Number of pages15
JournalJACC: Cardiovascular Imaging
Volume15
Issue number4
DOIs
Publication statusPublished - 2022

Keywords

  • cardiovascular magnetic resonance
  • COVID-19
  • ischemia
  • multisystem inflammatory syndrome
  • myocardial injury
  • myocarditis
  • SARS-CoV-2

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