Multimodality Cardiac Imaging in COVID.
S Neil HolbyTadarro Lee RichardsonJ Lukas LawsThomas A McLarenJonathan H SoslowMichael T BakerJeffrey M DendyDaniel Eugene ClarkSean G HughesPublished in: Circulation research (2023)
Infection with SARS-CoV-2, the virus that causes COVID, is associated with numerous potential secondary complications. Global efforts have been dedicated to understanding the myriad potential cardiovascular sequelae which may occur during acute infection, convalescence, or recovery. Because patients often present with nonspecific symptoms and laboratory findings, cardiac imaging has emerged as an important tool for the discrimination of pulmonary and cardiovascular complications of this disease. The clinician investigating a potential COVID-related complication must account not only for the relative utility of various cardiac imaging modalities but also for the risk of infectious exposure to staff and other patients. Extraordinary clinical and scholarly efforts have brought the international medical community closer to a consensus on the appropriate indications for diagnostic cardiac imaging during this protracted pandemic. In this review, we summarize the existing literature and reference major societal guidelines to provide an overview of the indications and utility of echocardiography, nuclear imaging, cardiac computed tomography, and cardiac magnetic resonance imaging for the diagnosis of cardiovascular complications of COVID.
Keyphrases
- sars cov
- coronavirus disease
- left ventricular
- high resolution
- computed tomography
- magnetic resonance imaging
- end stage renal disease
- healthcare
- ejection fraction
- chronic kidney disease
- pulmonary hypertension
- systematic review
- respiratory syndrome coronavirus
- risk factors
- mental health
- prognostic factors
- mass spectrometry
- magnetic resonance
- peritoneal dialysis
- heart failure
- quality improvement
- patient reported outcomes
- photodynamic therapy
- climate change
- positron emission tomography
- contrast enhanced
- clinical practice
- fluorescence imaging
- drug induced
- long term care
- extracorporeal membrane oxygenation
- human health