A Case Series of Diverse Cardiac Abnormalities in Collegiate Athlete with COVID-19: Role for Multimodality Imaging. (8th April 2022)

• Record Type: Journal Article
• Authors: Turpin, Vanessa-Rose G.; Goerl, Kyle; Chow, Chen Hoe; Ade, Carl J.
• Other Names: Canga Yigit Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2022(2022)
• Publication Date: 2022-04-08
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2022/3259978
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : Introduction . Since the COVID-19 pandemic there is concern for subclinical cardiac pathology in the absence of clinical symptoms in collegiate athletes, we present 4 cases of abnormal left ventricular global longitudinal strain (LVGLS), a "red-flag" for potential COVID-19 myocardial disease, following diagnosis with diverse abnormalities reported via multimodality imaging weeks into recovery. Methods . Cardiac imaging studies consisting of transthoracic echocardiography (TTE) and cardiovascular magnetic resonance imaging (CMR) were performed 10 days post-COVID-19 diagnosis and several weeks into recovery. Results . Initial TTE revealed abnormal left ventricular global longitudinal strain (LVGLS), an identified "red-flag" for potential COVID-19 myocardial disease. Further CMR imaging revealed potential recent/prior myocarditis in 1 athlete. Follow-up TTE several weeks later revealed a return to normal LVGLS. Conversely, 2 cases with normal CMR imaging had a LVGLS that remained abnormal >30 days into recovery. Conclusions . These individual cases highlight the substantial differences in echocardiographic and CMR abnormalities between athletes with confirmed COVID-19.