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Cardiac Magnetic Resonance Imaging in Coronavirus Disease 2019 (COVID-19): A Systematic Review of Cardiac Magnetic Resonance Imaging Findings in 199 Patients.
Ojha, Vineeta; Verma, Mansi; Pandey, Niraj N; Mani, Avinash; Malhi, Amarinder S; Kumar, Sanjeev; Jagia, Priya; Roy, Ambuj; Sharma, Sanjiv.
  • Ojha V; Departments of Cardiovascular Radiology & Endovascular Interventions.
  • Verma M; Departments of Cardiovascular Radiology & Endovascular Interventions.
  • Pandey NN; Departments of Cardiovascular Radiology & Endovascular Interventions.
  • Mani A; Department of Cardiology, Sri Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
  • Malhi AS; Departments of Cardiovascular Radiology & Endovascular Interventions.
  • Kumar S; Departments of Cardiovascular Radiology & Endovascular Interventions.
  • Jagia P; Departments of Cardiovascular Radiology & Endovascular Interventions.
  • Roy A; Cardiology, All India Institute of Medical Sciences, New Delhi.
  • Sharma S; Departments of Cardiovascular Radiology & Endovascular Interventions.
J Thorac Imaging ; 36(2): 73-83, 2021 Mar 01.
Article in English | MEDLINE | ID: covidwho-972686
ABSTRACT

OBJECTIVE:

Cardiac magnetic resonance imaging (CMR) with its new quantitative mapping techniques has proved to be an essential diagnostic tool for detecting myocardial injury associated with coronavirus disease 2019 (COVID-19) infection. This systematic review sought to assess the important imaging features on CMR in patients diagnosed with COVID-19. MATERIALS AND

METHODS:

We performed a systematic literature review within the PubMed, Embase, Google Scholar, and WHO databases for articles describing the CMR findings in COVID-19 patients.

RESULTS:

A total of 34 studies comprising 199 patients were included in the final qualitative synthesis. Of the CMRs 21% were normal. Myocarditis (40.2%) was the most prevalent diagnosis. T1 (109/150; 73%) and T2 (91/144; 63%) mapping abnormalities, edema on T2/STIR (46/90; 51%), and late gadolinium enhancement (LGE) (85/199; 43%) were the most common imaging findings. Perfusion deficits (18/21; 85%) and extracellular volume mapping abnormalities (21/40; 52%), pericardial effusion (43/175; 24%), and pericardial LGE (22/100; 22%) were also seen. LGE was most commonly seen in the subepicardial location (81%) and in the basal-mid part of the left ventricle in inferior segments. In most of the patients, ventricular functions were normal. Kawasaki-like involvement with myocardial edema without necrosis/LGE (4/6; 67%) was seen in children.

CONCLUSION:

CMR is useful in assessing the prevalence, mechanism, and extent of myocardial injury in COVID-19 patients. Myocarditis is the most common imaging diagnosis, with the common imaging findings being mapping abnormalities and myocardial edema on T2, followed by LGE. As cardiovascular involvement is associated with poor prognosis, its detection warrants prompt attention and appropriate treatment.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Magnetic Resonance Imaging / COVID-19 / Heart Diseases Type of study: Observational study / Prognostic study / Qualitative research / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Humans Language: English Journal: J Thorac Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Magnetic Resonance Imaging / COVID-19 / Heart Diseases Type of study: Observational study / Prognostic study / Qualitative research / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Humans Language: English Journal: J Thorac Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article