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COVID-19-Myocarditis and Return to Play: Reflections and Recommendations From a Canadian Working Group.
McKinney, James; Connelly, Kim A; Dorian, Paul; Fournier, Anne; Goodman, Jack M; Grubic, Nicholas; Isserow, Saul; Moulson, Nathaniel; Philippon, François; Pipe, Andrew; Poirier, Paul; Taylor, Taryn; Thornton, Jane; Wilkinson, Mike; Johri, Amer M.
  • McKinney J; Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: james.mckinney@ubc.ca.
  • Connelly KA; Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Dorian P; Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Fournier A; Centre Hospitalier Universitaire Sainte-Justine, University of Montréal, Montréal, Québec, Canada.
  • Goodman JM; Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
  • Grubic N; Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada.
  • Isserow S; Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
  • Moulson N; Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
  • Philippon F; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada.
  • Pipe A; University of Ottawa Heart Institute, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
  • Poirier P; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada.
  • Taylor T; Department of Sports Medicine, Carleton Sport Medicine Clinic, Ottawa, Ontario, Canada.
  • Thornton J; Department of Sports Medicine, Western University, London, Ontario, Canada.
  • Wilkinson M; Department of Sports Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Johri AM; Division of Cardiology, Queen's University, Kingston, Ontario, Canada.
Can J Cardiol ; 37(8): 1165-1174, 2021 08.
Article in English | MEDLINE | ID: covidwho-942925
ABSTRACT
The COVID-19-related pandemic has resulted in profound health, financial, and societal impacts. Organized sporting events, from recreational to the Olympic level, have been cancelled to both mitigate the spread of COVID-19 and protect athletes and highly active individuals from potential acute and long-term infection-associated harms. COVID-19 infection has been associated with increased cardiac morbidity and mortality. Myocarditis and late gadolinium enhancement as a result of COVID-19 infection have been confirmed. Correspondingly, myocarditis has been implicated in sudden cardiac death of athletes. A pragmatic approach is required to guide those who care for athletes and highly active persons with COVID-19 infection. Members of the Community and Athletic Cardiovascular Health Network (CATCHNet) and the writing group for the Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes recommend that highly active persons with suspected or confirmed COVID-19 infection refrain from exercise for 7 days after resolution of viral symptoms before gradual return to exercise. We do not recommend routine troponin testing, resting 12-lead electrocardiography, echocardiography, or cardiac magnetic resonance imaging before return to play. However, medical assessment including history and physical examination with consideration of resting electrocardiography and troponin can be considered in the athlete manifesting new active cardiac symptoms or a marked reduction in fitness. If concerning abnormalities are encountered at the initial medical assessment, then referral to a cardiologist who cares for athletes is recommended.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sports Medicine / Physical Fitness / Death, Sudden, Cardiac / Return to Sport / COVID-19 / Myocarditis Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Can J Cardiol Journal subject: Cardiology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sports Medicine / Physical Fitness / Death, Sudden, Cardiac / Return to Sport / COVID-19 / Myocarditis Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Can J Cardiol Journal subject: Cardiology Year: 2021 Document Type: Article