Name:
Cardiac Function Post Covid 19
Description:
Cardiac Function Post Covid 19
Thumbnail URL:
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Duration:
T00H03M13S
Embed URL:
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Content URL:
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Upload Date:
2022-02-28T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
>> Practice Impact Extra podcasts are derived from Hurst, the Heart Board Review, and other online resources available only through accesscardiology.com. >> As you're all aware, the COVID-D affects several organs. And as we know, we're learning much more about not with the acute, but the chronic cardiac effect of COVID-19. [ Music ] >> Hi! Dr. Bernie here, and welcome to Practice Impact Extra.
Since the first identification of the COVID-19 virus in December 2019, there's been a rapid growth in the literature describing the cardiac manifestations of the COVID-D syndrome. I want to share with you a report published in JACC Cardiovascular Imaging in May 2020. Cardiac Involvement in Recovered COVID-19 Patients Identified by MRI. Myocardial injury caused by COVID-19 continues to be reported in hospitalized patients.
But it's unknown if there's any sustained cardiac involvement after patient recovered from the COVID-19. This study was retrospective of 26 patients who went to a comprehensive cardiac MRI study following their recovery from COVID-19 in the one to two months following discharge from the hospital. The MRA exams or I exams consisted of conventional sequencing and quantitative mapping sequences. Both edema and cardiac function were quantitatively evaluated and compared to controls.
So what did they find? Fifteen of the 26 patients, that's 58%, had abnormal MRI findings, such as myocardial edema or late gadolinium enhancement, suggestive of fibrosis. There were also abnormalities in the measured extracellular volume. While LV function was preserved in almost all patients, those with the above-noted abnormalities often had detectable right ventricular dysfunction, possible as a consequence of prior pulmonary involvement in the disease.
So what's the take-home message here? I thought this was an impactful study with data that highlighted the cardiac involvement of COVID-19. It's really important as clinicians, particularly those who see patients, to be cognizant of the clinical recovery from COVID-19 that may still be associated with sustained myocardial abnormalities for which we don't know longer-term clinical consequences can be followed and be noted.
Clearly, further research is warranted. I want to thank you for joining me, and see you next time on Practice Impact Extra. >> We hope you enjoyed this podcast from McGraw-Hill. Subscribers to Access Cardiology have instant access to over 25,000 pages of rich medical content, receive medical updates from trusted experts, and have access to other special features. To subscribe or learn more, please visit accesscardiology.com.
