Your browser doesn't support javascript.
Cardiac involvement in coronavirus disease 2019 assessed by cardiac magnetic resonance imaging: a meta-analysis.
Kato, Shingo; Azuma, Mai; Fukui, Kazuki; Kodama, Sho; Nakayama, Naoki; Kitamura, Hideya; Hagiwara, Eri; Ogura, Takashi; Horita, Nobuyuki; Namkoong, Ho; Kimura, Kazuo; Tamura, Kouichi; Utsunomiya, Daisuke.
  • Kato S; Department of Diagnostic Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Japan. sk513@yokohama-cu.ac.jp.
  • Azuma M; Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan. sk513@yokohama-cu.ac.jp.
  • Fukui K; Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Kodama S; Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Nakayama N; Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Kitamura H; Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Hagiwara E; Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Ogura T; Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Horita N; Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
  • Namkoong H; Chemotherapy Center, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
  • Kimura K; Department of Infectious Diseases, Keio University School of Medicine, Tokyo, Japan.
  • Tamura K; Department of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
  • Utsunomiya D; Department of Medical Science and Cardiorenal Medicine, Yokohama City University, Yokohama, Japan.
Heart Vessels ; 37(9): 1570-1582, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-1748495
ABSTRACT
In this systematic review and meta-analysis, we sought to evaluate the prevalence of cardiac involvement in patients with COVID-19 using cardiac magnetic resonance imaging. A literature review was performed to investigate the left ventricular (LV) and right ventricular (RV) ejection fraction (EF), the prevalence of LV late gadolinium enhancement (LGE), pericardial enhancement, abnormality on T1 mapping, and T2 mapping/T2-weighted imaging (T2WI), and myocarditis (defined by modified Lake Louis criteria). Pooled mean differences (MD) between COVID-19 patients and controls for LVEF and RVEF were estimated using random-effects models. We included data from 10.462 patients with COVID-19, comprising 1.010 non-athletes and 9.452 athletes from 29 eligible studies. The meta-analysis showed a significant difference between COVID-19 patients and controls in terms of LVEF [MD = - 2.84, 95% confidence interval (CI) - 5.11 to - 0.56, p < 0.001] and RVEF (MD = - 2.69%, 95% CI - 4.41 to - 1.27, p < 0.001). However, in athletes, no significant difference was identified in LVEF (MD = - 0.74%, 95% CI - 2.41 to - 0.93, p = 0.39) or RVEF (MD = - 1.88%, 95% CI - 5.21 to 1.46, p = 0.27). In non-athletes, the prevalence of LV LGE abnormalities, pericardial enhancement, T1 mapping, T2 mapping/T2WI, myocarditis were 27.5% (95%CI 17.4-37.6%), 11.9% (95%CI 4.1-19.6%), 39.5% (95%CI 16.2-62.8%), 38.1% (95%CI 19.0-57.1%) and 17.6% (95%CI 6.3-28.9%), respectively. In athletes, these values were 10.8% (95%CI 2.3-19.4%), 35.4% (95%CI - 3.2 to 73.9%), 5.7% (95%CI - 2.9 to 14.2%), 1.9% (95%CI 1.1-2.7%), 0.9% (0.3-1.6%), respectively. Both LVEF and RVEF were significantly impaired in COVID-19 patients compared to controls, but not in athletes. In addition, the prevalence of myocardial involvement is not negligible in patients with COVID-19.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Myocarditis Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Journal: Heart Vessels Journal subject: Cardiology Year: 2022 Document Type: Article Affiliation country: S00380-022-02055-6

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Myocarditis Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Limits: Humans Language: English Journal: Heart Vessels Journal subject: Cardiology Year: 2022 Document Type: Article Affiliation country: S00380-022-02055-6