[Covid-19, myocarditis and return to play: it's time to be conservative.] / Covid-19, miocarditi e ripresa dell'attività sportiva: quando è il momento di essere conservativi.
Recenti Prog Med
; 112(3): 191-194, 2021 03.
Article
in Italian
| MEDLINE | ID: covidwho-1123707
ABSTRACT
Observational studies of cardiac magnetic resonance imaging in people with recent covid-19, including young asymptomatic athletes, have documented variable amounts of myocardial findings deemed suggestive of myocarditis. Despite a critical appraisal of the current literature points toward an insufficient evidence base about the existence of a peculiar association between covid-19 and myocarditis, the concern for unrecognized myocarditis and its potential consequences has led several sports medicine organizations to recommend a variety of cardiac tests to enable return to play in athletes with previous covid-19. We argue that some of these recommendations may lead to unnecessary tests or treatments, especially for asymptomatic SARS-CoV-2 positive people and for those with previous mild disease, and that sports participation may even be discouraged. As a response to current uncertainty, we advocate both for randomized studies that analyse the outcomes of different diagnostic strategies and for a prolonged follow-up of these people.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Physicians
/
COVID-19
/
Medicine
/
Myocarditis
Type of study:
Cohort study
/
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
Italian
Journal:
Recenti Prog Med
Year:
2021
Document Type:
Article
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