Cardiac Failure Review (Mar 2022)

Cardiac Magnetic Resonance in the Evaluation of COVID-19

  • Daniel E Clark,
  • Sachin K Aggarwal,
  • Neil J Phillips,
  • Jonathan H Soslow,
  • Jeffrey M Dendy,
  • Sean G Hughes

DOI
https://doi.org/10.15420/cfr.2021.20
Journal volume & issue
Vol. 8

Abstract

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Cardiovascular involvement following COVID-19 is heterogeneous, prevalent and is often missed by echocardiography and serum biomarkers (such as troponin I and brain natriuretic peptide). Cardiac magnetic resonance (CMR) is the gold standard non-invasive imaging modality to phenotype unique populations after COVID-19, such as competitive athletes with a heightened risk of sudden cardiac death, patients with multisystem inflammatory syndrome, and people suspected of having COVID-19 vaccine-induced myocarditis. This review summarises the key attributes of CMR, reviews the literature that has emerged for using CMR for people who may have COVID-19-related complications after COVID-19, and offers expert opinion regarding future avenues of investigation and the importance of reporting findings.