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Cardiac Involvement in Patients Recovered From COVID-2019 Identified Using Magnetic Resonance Imaging

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收录情况： ◇ SCIE

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单位： [a]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [b]Department of Radiology, Wuhan No.1 Hospital, Wuhan, China [c]Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [d]Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [e]Division of Imaging Processing, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands

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关键词： cardiac involvement cardiac magnetic resonance imaging coronavirus disease-2019

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Objectives: We evaluated cardiac involvement in patients recovered from coronavirus disease-2019 (COVID-19) using cardiac magnetic resonance (CMR). Background: Myocardial injury caused by COVID-19 was previously reported in hospitalized patients. It is unknown if there is sustained cardiac involvement after patients’ recovery from COVID-19. Methods: Twenty-six patients recovered from COVID-19 who reported cardiac symptoms and underwent CMR examinations were retrospectively included. CMR protocols consisted of conventional sequences (cine, T2-weighted imaging, and late gadolinium enhancement [LGE]) and quantitative mapping sequences (T1, T2, and extracellular volume [ECV] mapping). Edema ratio and LGE were assessed in post–COVID-19 patients. Cardiac function, native T1/T2, and ECV were quantitatively evaluated and compared with controls. Results: Fifteen patients (58%) had abnormal CMR findings on conventional CMR sequences: myocardial edema was found in 14 (54%) patients and LGE was found in 8 (31%) patients. Decreased right ventricle functional parameters including ejection fraction, cardiac index, and stroke volume/body surface area were found in patients with positive conventional CMR findings. Using quantitative mapping, global native T1, T2, and ECV were all found to be significantly elevated in patients with positive conventional CMR findings, compared with patients without positive findings and controls (median [interquartile range], native T1 1,271 ms [1,243 to 1,298 ms] vs. 1,237 ms [1,216 to 1,262 ms] vs. 1,224 ms [1,217 to 1,245 ms]; mean, T2 42.7 ± 3.1 ms vs. 38.1 ms ± 2.4 vs. 39.1 ms ± 3.1; median [interquartile range], 28.2% [24.8% to 36.2%] vs. 24.8% [23.1% to 25.4%] vs. 23.7% [22.2% to 25.2%]; p = 0.002; p < 0.001, and p = 0.002, respectively). Conclusions: Cardiac involvement was found in a proportion of patients recovered from COVID-19. CMR manifestation included myocardial edema, fibrosis, and impaired right ventricle function. Attention should be paid to the possible myocardial involvement in patients recovered from COVID-19 with cardiac symptoms. © 2020 American College of Cardiology Foundation

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基金编号： 81471637 81873889 2017ZX10103005007 2018YFE0204500

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出版当年[2019]版：

大类 | 1 区

医学

小类 | 1 区心脏和心血管系统 1 区核医学

最新[2025]版：

大类 | 1 区

医学

小类 | 1 区心脏和心血管系统 1 区核医学

JCR分区：

出版当年[2018]版：

Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

最新[2023]版：

Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子： 12.8 最新[2023版] 13.4 最新五年平均 10.975 出版当年[2018版] 10.793 出版当年五年平均 10.247 出版前一年[2017版] 12.74 出版后一年[2019版]

第一作者：

第一作者单位： [a]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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通讯作者：

通讯机构： [a]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [d]Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [e]Division of Imaging Processing, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands [*1]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave 1095, 430030 Wuhan, China. [*2]Division of Imaging Processing, Department of Radiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden,the Netherlands. [*3]Department of Cardiology,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave 1095, 430030 Wuhan, China

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Cardiac Involvement in Patients Recovered From COVID-2019 Identified Using Magnetic Resonance Imaging